SAM Mentor Report and Reference Form

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This report is completed by a mentor of SAM Students and Certified SAMs.

This report and reference form for certified SAMs is due by June 1st of each year. Certification is for July 1 through June 30 each year.

For mentors supporting a SAM student this form is part of the application process and should be re-submitted by June 1 of each year.

Email *

Name of Synod Authorized Minister *

Name of Person(s) completing this form *

Phone *

Congregation (name and address) *

How many years, and in what context, have you known this SAM? *

Describe this person's current participation in the congregation: *

What examples of areas of strength, spiritual gifts and leadership attributes have you seen in this SAM/SAM Student? *

What spiritual growth and educational participation have you seen in this SAM/SAM student? *

How are you using the mentor model to support and teach this SAM/SAM student? *

Have you had an opportunity to experience this person's worship leadership and preaching (in-person or digitally)? What's your evaluation? *

Give examples of how this person’s talents and education are used to support the mission of their congregation, their synod, and the ELCA. *

Give examples of how this person seeks input, takes guidance and demonstrates follow-through from you as their mentor. *

Are there any concerns regarding this person’s attitudes, practice of ministry, confidentiality, boundaries, etc? *

Are there areas of growth for this person that could be supported through training and education programs of the Synod?

Do you wish to have a conversation about this SAM with the bishop and/or SAM Steering Committee? *

Yes

A copy of your responses will be emailed to the address you provided.

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