AMP Proposal

Instructions: Before beginning your practicum, please complete this proposal form with your mentor's participation. Please have your mentor complete the "AMP Mentor Registration Form".

Proposals will not be evaluated for approval until both this form and the Mentor Registration Form have been completed.

First name

Last name

Student email

Expected graduation year

Practicum site (name of company, ministry, organization, etc.)

Practicum location (US: city, state; Int'l: city, country)

Mentor name and title

Mentor email

I understand I am not permitted to start accruing hours until my AMP proposal is approved by the AMP Counselor.

YesNo

Please elaborate

Expected practicum start date.

I understand that my AMP must be completed by the beginning of my final term.

YesNo

Please elaborate

Expected practicum end date.

*Remember this date needs to be before your final term enrolled at WTS.

I understand that my practicum mentor cannot be a relative, spouse, or live in the same dwelling as me.

YesNo

Please elaborate

Summarize how you intend to fulfill the 100 hour requirement before your final term. (Ex. Weekly mentor-student meeting, 1hr/week; Counseling sessions, 3hrs/week; Counseling training, 1hr/week). Please consider the direct vs. indirect counseling hour stipulations (Student Guide, page 3) as you create your practicum summary.

Please limit your response to 100 words or less.

Work with your mentor to narrow down one aspect of specific and concrete personal growth you would like to focus on in the Applied Ministry Practicum.

Please limit your response to 100 words or less.

Work with your mentor to narrow down one or two aspect(s) of specific and concrete
counseling ministry growth you would like to focus on in the Applied Ministry Practicum.

Please limit your response to 100 words or less.

Students are required to keep a record of hours throughout the practicum and submit documentation during final evaluation upon completing AMP. Please feel free to use this form we have created.

I understand and will submit proper documentation at my AMP evaluation. I do not understand/I have more questions regarding hour documentation.

Please list questions below or email support@online.wts.edu

Student signature

Sign above by typing your name.

Mentor signature

Sign above by typing your name.