Office of Supervised Ministries - Site Application Form

Address
Primary Supervisor
Site Profile
Please list some of the salient characteristics of your congregation or constituents, e.g., mission objectives, significant history, organization/parish demographics, cultural or environmental context, regularly scheduled events.
Supervisor Profile
Additional Supervision
(e.g., housing arrangements, requirements like TB test or background check, schedule expectations, presence of other interns)
Please attach a resume for each supervisor
Supervisor and Site Agreement

I agree to the following:

1. As the person who will direct and observe most of the student’s work, I will serve as the student’s primary supervisor.
2. To the best of my knowledge, I will be available to supervise for the entire internship, planning no absence greater than one week without prior approval from the Director of Supervised Ministries.
3. I have had a minimum of three years’ experience in my vocational field and at least one year
in my current position. I am employed full time in a long-term position rather than as an interim.
4. I will spend at least one hour a week meeting individually with the student.
5. I will conduct myself professionally and ethically, including refraining from any speech or action that is sexual in nature, and I will ensure a non-hostile learning environment for the student intern. I have never been sanctioned for professional misconduct, and there are no
charges currently pending against me.
6. I will abide by all policies and procedures set forth by the Yale University Divinity School Office of Supervised Ministries in relation to the internship.
7. I will participate in the New Supervisor’s Orientation prior to the start of the internship (if a first-time YDS supervisor) and, occasionally, continuing education events for supervisors, at the request of the Director of Supervised Ministries.

Yale University Hold Harmless Agreement
The site listed above agrees to provide internship placement opportunities for students in the supervised ministry program of Yale Divinity School. We further agree to indemnify and hold harmless Yale University and its current and former employees, officers, fellows, and agent from and against any and all damage, liability, injury, expense or loss relating to any third party claim which arise or result from the negligent acts or omissions of any employee, volunteer or agent of this site.

Clicking SUBMIT online below  indicates your agreement to all of the above conditions and affirms the truth of the information you have provided.