Staff Practicum Request Form Request Form for Practicum Students Name First Last PhoneEmail* Ministry Department*What campus will your student report to?*Rocky ButteDowntown217Mill PlainPBCWhat day(s) of the week/ time slots are required/preferred*Weekly Tasks*Please list and describe weekly task lists that will be assigned to your practicum students. Special Projectseg. Neon night, preaching at City Kids, ect.Approximately weekly hours?*Will you be directly overseeing your practicum students?* Yes No If you answered no above, list the name & number of delegated direct oversightHow often are you able to connect pastorally with your practicum student?* Once a week Bi-monthly Once a month Quarterly Never, I don't like people Please select oneDesired Skill Set* Adminsitrative Leadership Creative Musician Worship Leader/Vocalist Graphics/Media Pastoral Team Player Detail Oriented Hospitality Photography Computer Skills Sound Engineer Bilingual Teaching/grading assistance Approximately how many students do you need?*Is there anything else our placement team should be aware of?