Application to be a Professional Pastoral Supervisor who is recognised by the Baptist Union of Victoria (BUV)

This form is for those who would like to be placed on the BUV Recognised Supervisor list. This list is where Baptist Pastors are being directed to find a supervisor for their training.

Name

Address

Phone

I give BUV permission to place my name and email address on the website.

Yes

I have completed my Graduate certificate, diploma or master in professional or pastoral supervision

YesNo

I was awarded (eg Grad Cert, Diploma etc.)

Year of completion…

Name of University or College

I have completed a Bachelor of Theology or Ministry or equivalent (e.g. undergraduate degree in Counselling, Psychotherapy, Psychology, Social Work, Social Science or equivalent)

YesNo

My undergraduate degree was

I have had at least five years of pastoral ministry experience (might include churches, counselling, or community services).

YesNo

My main experience has been

I am currently being supervised by a professional supervisor.

YesNo

My supervisor's name is

The date of my last session was

I am a member of a recognised body of pastoral supervisors.

YesNo

The body I belong to is

I have insurance which covers my practice as a professional pastoral supervisor

YesNo

Insurer details

I agree to provide non identifiable feedback regarding the broad topics discussed in each session. For example: * Person (how who they are affects their work) * System (how the church or ministry is impacting work) * Context (how the broader context is affecting work) * Source (how pastors faith, sense of God is affecting their work)

YesNo

I give permission for the BUV to receive feedback from those I supervise regarding my supervision.

YesNo

I have read the BUV Code of Ethics and agree to encourage pastors to practice their ministry within the requirements of the Code of Ethics.

YesNo

Please provide what you would like to appear in your profile (no more than 100 words) For example see BUV Supervision page under "How do I find a professional Pastoral Supervisor"

I have attached a photo for use on the BUV website (file size between 1mb-3mb)

I declare that all of the above is true.

Yes

Is there anything else you would like to say about your application?

Thank you for your submission, if we have any queries or questions about your application we will be in contact.

Contact Information