Release of Evaluations Form

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Release of Evaluations Form

Office of Contextual Education

Please fill out all the required fields. Allow two weeks for processing.

Your full name (as it appears in Opus)*

First Name*

Last Name*

Did your name change during or after your enrollment at Candler? If so, please enter previous name below

Your email address*

Your phone number*

Enrollment Status*

I am a current Candler student. I am a Candler graduate.

Program*

Con Ed Teaching Parish Combination of Con Ed and Teaching Parish CPE

Other: Other Value

Year of enrollment*

Year of graduation*

Due Date*

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Month

Day

Year

Please allow two weeks for processing

Request Type*

Please email copies of my Con Ed evaluations (e.g., for Senior Portfolio Review). Please send my Con Ed evaluations, (along with a cover letter provided by the Con Ed office) to The Board of Ordained Ministry

Other: Other Value

Signature*

Date/Time*

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Month

Day

Year

BOM Recipient Information

Recipient Name

First Name

Last Name

Recipient Title

Rev. Dr. Rev. Dr. Mr. Mrs. Ms.

I hereby release the following evaluations:

Contextual Education I Evaluations Contextual Education II Evaluations Clinical Pastoral Education (CPE) Evaluations Teaching Parish Evaluations Ministry Internship Evaluations Candler Advantage Evaluations

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Institution Name

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Recipient Email

Institution Mailing Address

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City