Contextual Education Placement Request Form

Due Dates

This form should be completed by March 15th for Summer or Fall placements, and by October 15th for Spring placements.

What is the nature of your Contextual Education? (choose one)*

Internship Placement (I will be doing field work at a site under the direction of a supervisor)
ConEd Project (MDiv students who have previously completed a placement, or MTS)
Clinical Pastoral Education (CPE) (I am pursing CPE as my Contextual Education)
School of Social Work Placement (I am a dual-degree student with an SSW internship)
Travel Seminar (MTS only)

Student Name*

BU ID Number*

This is a 9-digit number starting with a "U" found on your Boston University ID card.

Email

What is your degree program?*

Master of Divinity
Master of Theological Studies
Dual Degree Master of Divinity & Master of Social Work
Dual Degree Master of Theological Studies & Master of Social Work

What is your MDiv track?*

Pastoral Ministry Track
Global & Community Engagement Track
Religion & the Academy Track
Organizational Management Track
Chaplaincy Track
Interfaith Leadership Track
Theology & the Arts Track
Dual Degree: Theology & Social Work Track

What is your MTS Specialization?*

Open Format - no specialization
Religion & Conflict Transformation
Transcultural Studies
Theology
Texts & Traditions
Religion & Science
Ecological Theology & Ethics
Spirituality Studies

Are you pursuing any STH Certificate Programs? (check all that apply)

Religion & Conflict Transformation Certificate
Faith & Ecological Justice Certificate
Theology & Latinx Studies Certificate
Evangelism Certificate
Music Ministry Certificate
Spirituality Studies Certificate
Anglican-Episcopal Studies Certificate
Other certificate at BU not within STH

What is your denomination or religious tradition (if any)?*

Are you planning to seek ordination or authorization within your religious tradition?*

Yes, I am in the ordination/authorization process already
Yes, but I have not formally begun the process
I am not sure and am still deciding
No, I am not planning to pursue ordination/authorization
I am already ordained.
This question is not applicable to my religious tradition.

Does your tradition require either of the following for ordination/authorization? (check all that apply)

Internship placement in a congregation or religious community
Unit of Clinical Pastoral Education (CPE)
I don't know the ordination/authorization requirements of my tradition yet.

I certify that I have completed my Viewpoint Screening background check. (All students are required to complete a background check prior to entering their placement. Please visit this website to complete your background check: https://www.viewpointscreening.com/busth)*

Yes, I have completed my Viewpoint Screening background check.
I do not have a Social Security Number, and therefore cannot complete my Viewpoint Screening background check.

Please note, students without Social Security Numbers must work with the ConEd Office to receive a background check waiver.

Information About Your Requested Placement Site

What is the name of your proposed site?*

Where is your proposed site located? (either provide the physical address of your site, or name if it is a virtual placement)*

Does your proposed site have a website? If so, what is that address?

In which semester(s) do you plan to do this placement or project?*

Full Academic Year (2 semesters)
Fall Semester Only
Spring Semester Only
Summer

How many credits of ConEd will you fulfill this summer? (3 credits = 240 hours of service; 6 credits = 480 hours of service)*

Are you already working in this organization where you are requesting a placement?*

Yes, I am already on staff at this organization.
Yes, I am already a volunteer at this organization.
Yes, I am already a member of this organization.
I intend to be on staff or a volunteer by the time my placement begins.
I will not have previous affiliation with the site prior to the start of my placement.

Is your site able to provide a stipend of at least $1000 per semester during your placement?*

Yes, I have confirmed that the site can offer this scholarship.
No, I have checked and the site cannot offer a scholarship.
I have already completed 6 credits of ConEd, and am not eligible for this scholarship.
I am paid staff receiving direct compensation from my site placement (note: “paid staff” constitutes any student making over $1,000 during a 3-credit placement or any student making over $2,000 during a 6-credit placement)

Sites that are prepared to pay the cost of their student’s scholarship should make checks payable to Boston University School of Theology with “School of Theology Scholarship Fund” in the memo line. The student’s name should not be on the check or else it will be returned. Checks can be mailed to: Contextual Education Office Boston University School of Theology, 745 Commonwealth Avenue, Suite 107, Boston, MA 02215

Who would be your on-site supervisor at your proposed placement?*

Please include their proper title, such as "Rev. Dr. Mr. Ms. or Mx."

What is your proposed supervisor's contact information (email and phone number)*

Has your proposed supervisor ever supervised a Contextual Education student from the School of Theology before at this site?*

Yes
No

By checking this box, you confirm that you already have spoken to your proposed supervisor and that they have agreed to supervise you as an intern in their organization. (If you have not spoken to your proposed supervisor, please do not submit this form.)*

I confirm that I have spoken to my proposed supervisor, and that they have agreed to supervise me as an intern in their organization.

Briefly describe the work you plan to do at this Contextual Education Placement.*

Have you previously taken TC801 or TC802 and received a Contextual Education scholarship?*

When will you/when did you start your CPE program?*

Acknowledgment*

I understand that by receiving this CPE scholarship, I will not be eligible for Contextual Education scholarships if I register for TC801 or TC802 later on in my program.
I understand that I will need to submit a transfer credit petition after I complete CPE to finalize CPE meeting my degree program requirements
I understand that completing this form does not guarantee additional financial aid, which is subject to federal regulations, and that this request must be approved by the Contextual Education Office and the Academic Dean.

Please list the Travel Seminar.*

(Include course code and course title)

Choose One*

I have not yet applied for this travel seminar, but I intend to.
I have already applied for this travel seminar and I am waiting to officially register.
I am registered for this travel seminar and intend to go in an upcoming semester.
I have already gone on this travel seminar in a previous semester.

Please list the semester and year of your Travel Seminar (ex. Fall 2024).*

Please upload a completed project proposal worksheet*

Max. file size: 100 MB.

https://www.bu.edu/sth/files/2024/02/2024-CONTEXTUAL-EDUCATION-PROJECT-PROPOSAL-WORKSHEET.docx

Is there anything else you would like the Contextual Education Office to know about your site as we consider your request?

Contextual Education Placement Request Form

ConEd Placement/Project Request Form

Due Dates

Information About Your Requested Placement Site

Related Resources

News

Alumni Testimonials from Historic 2024 UMC General Conference

Reverend Dr. Hyveth Marjorie Williams (STH ’98) Speaks at Summit on Social Consciousness Hosted by Andrews University

Reverend Elizabeth Duffy (STH’09) Speaks at Lockport Lenten Luncheon

Events

Contextual Education Placement Request Form

ConEd Placement/Project Request Form

Due Dates

Information About Your Requested Placement Site

Related Resources

Degree Programs

Faculty Research

Meet Our Faculty

News

Alumni Testimonials from Historic 2024 UMC General Conference

Reverend Dr. Hyveth Marjorie Williams (STH ’98) Speaks at Summit on Social Consciousness Hosted by Andrews University

Reverend Elizabeth Duffy (STH’09) Speaks at Lockport Lenten Luncheon

Events