PASTORAL COUNSELING CATALOG
The Pastoral Counseling Program was developed in response to a recognized
need by the clergy and religions of all denominations to enhance their
counseling skills. Many people with emotional problems consult the clergy first.
In turn, clergy often found themselves inadequately prepared to deal with the
increasing demand for counseling that their parishioners placed on them.
Formulations of pastoral counseling are based on both depth psychology and
other therapeutic modalities with the objective to prepare students to
recognize the underlying dynamics of the problems their clients present to them
and to enable them to focus on counseling goals and make appropriate
dispositions based on the matrix of their understanding. The principal
orientation of the program is geared towards greater self-awareness, practical
clinical skills based on solid theoretical foundations which are adapted to
counseling for the specialized training of clergy. The program is under
constant reevaluation.
Our nation’s mental health problems can be most effectively resolved if specialized mental health workers and allied professionals
join forces in a common effort. Clergy are in a position to make an unique contribution toward this objective. While carrying
out their duties, clergy come into contact with many members of the community;
they are called upon to advise and to counsel, as well as to act as a religious leaders. To meet these tasks, training in the
recognition and handling of psychological difficulties are urgent. The Pastoral
Counseling Program is a part-time course of study designed to fill such need.
An interfaith training program, which leads to Certification in Pastoral
Counseling extends part time over a two year period.
QUALIFICATIONS FOR ADMISSION Anyone currently engaged in work affiliated with a religious institution may apply to the program. It is understood that the Certificate in Pastoral Counseling is not intended for “private practice” but always under denominational regulation.
General information on International School for Mental Health Practitioners
may be obtained by consulting the Psychoanalytic Catalog.
Individual personal therapy while not required is highly recommended.
Fees: Application is $50. Tuition is $300 per course which meets weekly for a
15 week semester.(Classes are held on Monday
evenings).
Refund policy: See Psychoanalytic Catalogue.
PASTORAL COUNSELING COURSES (Wednesdays, 6-8:30 PM)
First Semester
Basic Techniques of Counseling 1A
The Field of Pastoral Counseling
Group Experience 1 (theoretical and group participation)
Case Supervision 1A
Second Semester
Basic Techniques of Counseling 1B
Mental Health and the Pastoral Counselor
Group Experience 2 (theoretical and group
participation)
Case Supervision 1B
SECOND YEAR
First Semester
Advanced Techniques of Counseling 1A
Counseling Problems and Techniques
Advanced Group Dynamics 1 (theoretical and group
participation
Case Supervision 2A
Second Semester
Advanced Techniques of Counseling 1B
Special Problems in Pastoral Counseling
Advanced Group Dynamics 2 (theoretical and group
participation)
Case Supervision 2B
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INTERNATIONAL SCHOOL FOR MENTAL HEALTH
PRACTITIONERS
2295 Victory Boulevard, Staten
Island, New
York 10314, (718)
698-0700
APPLICATION FOR ADMISSION TO PROGRAM IN PASTORAL
COUNSELING
Personal
Social Security #_______________________________(you
may leave blank)
Last
Name______________________________First_________________Middle__________
Address_________________________________________________________________________________________________________________________________________
Home Telephone_____________Cell Phone______________Work Phone____________
Fax_________________________Email_______________________________________
Date of Birth___________Marital Status: Single________;Married_________:Other___
If married, spouse's full
name________________________________________________
Citizen USA: Yes__No___Religion(optional)___________Ethnic Origin(optional)_____
Please attach firmly a passport photo to the
reverse page)
Academic
Undergraduate
College_____________________________________________________ Location______________________Degree_____Field____________________Date___
Graduate University______________________________________________________
Location______________________Degree_____Field____________________
Date___
Graduate
University_______________________________________________________
Location______________________Degree_____Field_____________________Date___
Information Systems
& Computer Applications. If you have
taken this course or the equivalent, please provide documentation.
Graduate transcript(s) must be
sent directly from Registrar to the Admissions Officer of
ISMHP.
Work Experience
List all employment of the last ten years: name,location; dates; duties;
reason for leaving:
1.______________________________________________________________________________________________________________________________________________
2.______________________________________________________________________________________________________________________________________________
3.______________________________________________________________________
________________________________________________________________________
4.______________________________________________________________________________________________________________________________________________
5.______________________________________________________________________________________________________________________________________________
Recommendations
Three letters of recommendation are required. These should be from
teachers (at least one) and supervisors (at least one) of your work place(s).
The letter should include an assessment of your work, ethics and that you are
recommended (to the best knowledge of the one writing) for Pastoral Counseling
Training. These letters are to be sent directly to the Admissions
Officer of ISMHP.
Have you ever been found guilty, or pleaded guilty, no content,
or nolo contendere to a crime (felony or misdemeanor) in any
court? Yes _____ No ____.
Are criminal charges pending against you in any
court? Yes ____ No ____.
Has any licensing or disciplinary authority refused to issue or
ever revoked, annulled, cancelled, accepted surrender of, suspended, placed on
probation, refused to renew a professional license or certificate held by you
now or previously, or ever fined, censured, reprimanded or otherwise
disciplined you? Yes ____No_____
Are charges pending against you in any jurisdiction for any sort
of professional misconduct? Yes ____No ____.
Has any hospital or licensed facility restricted or terminated
your professional training, employment, or privileges or have you ever
voluntarily resigned or withdrawn from such
association to avoid
imposition of such measures? Yes ___No ___.
Note: If you answer "Yes" to any of
the above questions , submit a letter giving
a complete detailed explanation.
It is understood that if you are accepted into the ISMHP Pastoral
Counseling Program, you are required, at your own expense, to carry maximum
malpractice insurance which covers specifically ISMHP and any ISMHP related
agencies in which your work is carried out.
I hereby certify that the information given in
this application is accurate and complete to the best of my knowledge. If, I am
accepted as a student, I agree to abide by the policies, philosophy of conduct,
and expectations of International School for Mental Health
Practitioners. I have read in its entirety the information on ISMHP including
the material on history, mission, requirements, grades and fees.
Date:_____________________Signature_____________________________________
NOTARY
State of __________________________County of
___________________________
On the ____day of _________ in the year ______,
before me, the undersigned, personally appeared
__________________________________, personally known to me or proved to me on
the basis of satisfactory evidence to be the individual whose name is
subscribed to this application and acknowledged to me that he / she executed
the application and swore that the statements made by him / her in the
application and all supporting materials are true, complete and correct.
Notary Public's Signature________________________________________________
Notary ID number __________________
Expiration Date:___________________
Month Day Year Notary
Stamp