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Asbury Theological Seminary Shield

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Quick Links

Degrees
Apply
Visit

Main

About
Admissions
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Give

Internal

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Canvas
Portal

Admissions
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- Planned Giving
- Freewill
  
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Counseling Application

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Counseling Application

This applicant is applying to the specialized Master of Arts in Mental Health Counseling, Master of Arts in Marriage and Family Counseling, or Master of Arts in Pastoral Counseling program. Please evaluate this applicant in reference to his/her potential for the vocation of a counselor. Thank you for your full and candid assessment.

Please answer the questions below using the following rating system:
NO-Not Observed; 1-strongly disagree; 2-disagree; 3-neither agree nor disagree; 4-agree; 5-strongly agree
Your Name
First Last
Your Email
Applicant's Name
First Last
Demonstrates a level of self-disclosure appropriate to the setting.
- No
- 1
- 2
- 3
- 4
- 5
Demonstrates a respect for others’ boundaries.
- No
- 1
- 2
- 3
- 4
- 5
Demonstrates ability to accurately interpret others’ interpersonal cues.
- No
- 1
- 2
- 3
- 4
- 5
View of others is free from cultural, gender, or racial stereotypes.
- No
- 1
- 2
- 3
- 4
- 5
Is able to engage others respectfully when disagreements arise.
- No
- 1
- 2
- 3
- 4
- 5
Seeks out the perspectives of those who may hold different views than his/her view.
- No
- 1
- 2
- 3
- 4
- 5
Believes that psychology is a valuable component of effective counseling for Christians.
- No
- 1
- 2
- 3
- 4
- 5
Shows an interest in how theological resources can inform counseling practice.
- No
- 1
- 2
- 3
- 4
- 5
Can identify his/her strengths.
- No
- 1
- 2
- 3
- 4
- 5
Can identify areas for growth.
- No
- 1
- 2
- 3
- 4
- 5
Possesses appropriate self-worth.
- No
- 1
- 2
- 3
- 4
- 5
Can see how his/her life experiences influences his/her ministry.
- No
- 1
- 2
- 3
- 4
- 5
Does not take over another when tension arises in their relationship.
- No
- 1
- 2
- 3
- 4
- 5
Easily gives up their perspective when tension arises in their relationship.
- No
- 1
- 2
- 3
- 4
- 5
Withdraws from another when conflict or tension arises in their relationship.
- No
- 1
- 2
- 3
- 4
- 5
Manages his/her anxiety that might otherwise interfere with relationships or job performance.
- No
- 1
- 2
- 3
- 4
- 5
Participates in Christian practices that deepen his/her spiritual life.
- No
- 1
- 2
- 3
- 4
- 5
Others would identify this person as one who is maturing in his/her faith.
- No
- 1
- 2
- 3
- 4
- 5
Regularly participates in a faith community.
- No
- 1
- 2
- 3
- 4
- 5
We would appreciate any additional comments to the above questions.
Describe applicant’s spiritual and emotional maturity for developing healthy relationships.
Describe applicant’s ethical and moral integrity, including concerns about boundary issues.
Are there any reasons you would not recommend this applicant to a program in counseling?
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