old-Master of Divinity MIDDLER Scheduling Sheet

This sheet is required as confirmation that you have:

Recruited a Middler panel headed by your primary advisor that consists of a secondary advisor (only if assigned by the Assistant Dean), your field education supervisor, a denominational or vocational credential representative, and 1-2 peers
Confirmed that all on your panel have agreed to the date and time listed above to be either physically present to available via conference call.
Scheduled a location for the review. Usually you can reserve either Holbrook 133 or 134 after checking their availability then sending your request through the online room reservation form, receiving confirmation for the reservation from the PSR receptionist, and reserving (if needed) conference calling equipment if in room 133 for a two-hour block.

Please submit this form as soon as you have completed the above. Not doing so may prevent you from registering for the next semester and continuing in the program due to an academic block. Once submitted, you and your primary advisor will instantly receive a copy via email. The Assistant Dean for Academic Programs will also receive a copy for tracking purposes.

Further clarification regarding this form may be found in the rest of the Middler Review Guidelines or by consulting the Assistant Dean for Academic Programs at registrar@psr.edu.

Cohort Year (academic year of the first course applied to your MDiv, even if you completed it with another GTU school or in another PSR program. Academic years start with Summer and end with Spring. EXAMPLE: You started the CSSC in Fall 2014 and transferred your CSSC work to the MDiv in Fall 2015. Your cohort year = 2014 (not 2015). EXAMPLE: You started in Spring of 2016. Your cohort year=2015)

1. Please enter your contact info:

First Name *This question is required.

Last Name *This question is required.

Address

PSR Box #

Phone Number

Email *This question is required. This question requires a valid email address.

2. NOTE: Middler students need to have taken or are taking at minimum their Field Education requirement and basic Theology requirement. If you have not, and you are in your Middler year, you may be blocked from continuing in the MDiv program, particularly if you are approaching completing 54 credits. Prepare to take a leave of absence or consider discussing other options with your advisor (change of program, part-time enrollment, etc.) if you cannot complete your Field Education requirement as well as your Introduction to Theology requirement as you approach your 54th credit in the MDiv program.

I, , verify that I have completed or am currently enrolled in: *This question is required.

FE 1005-1006 series or FE 1011-1014 series
ST 2160 or an approved alternative (list available on MDiv website under "Manuals and Forms" or "My Progress" in WebAdvisor.

3. Confirmed schedule

Date of Middler Review
Time of Middler Review
Location of Middler Review

4. Review Participants

Advisor *This question is required.

Advisor email *This question is required.

Second faculty member (only if assigned)

Second faculty email

Field Education Supervisor

Field Education Supervisor email This question requires a valid email address.

Field Education Supervisor Mailing address

Field Education Supervisor phone

Conference call participant?

Denomination or Professional/Vocational representative

Representative Email

Representative Mailing address

Representative Phone

Conference call participant?

Peer

PSR Box This question requires a valid number format.

Phone

Conference call participant?

Peer

PSR Box

Phone

Conference call participant?