Middler Review Meeting Confirmation

MIDDLER INFORMATION

This form is required as confirmation that you have:

Identified a Middler Panel, to be chaired by your primary advisor, consisting of
- your Field Education mentor or CPE supervisor,
- a PSR student peer,
- a Denominational representative (required if you are on a denominational ordination track), and
- a secondary advisor (only if assigned by the Assistant Dean),
Confirmed that all panel members have agreed to the date and time listed,
Received a Zoom Meeting link from your academic advisor for use during the Middler meeting.

For detailed instructions about the Middler, download the Student Middler Review Guidelines document from the Student Resources web page.

Once submitted, you and your academic advisor will receive a pdf document of this form. You can include this form in the materials sent to your panel.

A copy will also be sent to the Office of Academic Affairs.

Which type of Field Praxis have you completed
*This question is required.

Please enter an 'other' value for this selection.

Academic year of your Concurrent Field Education or Internship (e.g., 2021-2022) or
Semester & Year of your CPE program (e.g., FA21)

*This question is required.

PLEASE ENTER YOUR CONTACT INFORMATION:

FIRST NAME *This question is required.

LAST NAME *This question is required.

STUDENT EMAIL *This question is required. This question requires a valid email address.

CELL PHONE (for day-of-meeting texts)

CONFIRMED SCHEDULE *This question is required.

Date of Middler Review
Time of Middler Review (include time zone)
Zoom link for Middler Review

On-site location, if used

FACULTY ADVISOR FULL NAME *This question is required.

FACULTY ADVISOR EMAIL *This question is required. This question requires a valid email address.