Final Review and Assessment Form
Theme Year Field Placement
(This form is to be completed and returned to CCS Staff by April 30 (by June 30 for August LDM students)

Student:
Placement:
Theme Year: 
Date: 

1.	What have been the major learnings over the course of this field experience? 
A.	about self?
Student Comments:

Review Team Comments:

B.	about others?
Student Comments:

Review Team Comments:

C.	about diaconal ministry?
Student Comments:

Review Team Comments:

2.  What have been the major accomplishments over the course of this field placement?  (Please list all accomplishments)
Student comments:

Review Team Comments:

3.	In what ways were learning goals met?
Student Comments:

Review Team Comments:

4.	In what ways has learning been enhanced in the areas related to the Theme Year?
Student Comments:

Review Team Comments:

5.	What areas can be identified for future work and preparation for ministry?
A.	personally?
Student Comments:

Review Team Comments:

B.	theologically?
Student Comments:

Review Team Comments:

C.	theoretically?
Student Comments:

Review Team Comments:

D.	in another theme year or Integrating, or Reflection Years of the CCS program?
Student Comments:

Review Team Comments:

We recommend that the Centre for Christian Studies staff give

 ________________________, 
G	credit 	
G	no credit 
G	credit with the following conditions:

for her/his Theme Year Field Placement at _________________________,
Sept to April of _______(year).
This report fairly and accurately represents the conversation we had at the final review and assessment of my Theme Year field placement.

Name			Signature			Date

Student:		________________________Recorder:____________________________