Application for Ecclesiastic Endorsement

 

APPLICATIONS must be submitted a minimum of 30 days prior to date needed. Also endorsements for certification and employment require a personal interview with the Endorsement sub-committee of the CSL Chaplaincy committee. These interviews are available to schedule at the annual CSL Ministerial Retreat and the Annual CSL Convention. 

PLEASE NOTE: BELOW THE SUBMIT PUTTON, THERE ARE ADDITIONAL MATERIALS THAT MUST BE SUBMITTED. NO APPLICATION WILL BE PROCESSED WITHOUT THE FORM AND ALL ADDITIONAL MATERIALS THAT NEED TO BE SUBMITTED.

Name *
Name
Date
Date
Address
Address
Date of Birth
Date of Birth
Ministry Status *
At this time CSL is only offering Ecclesiastic Endorsement for chaplaincy/spiritual care and counseling/supervision to licensed practitioners in good standing or licensed or ordained ministers in good standing, of CSL. Please check your status below:
Marital Status *
CSL only endorses practitioners-in-training for CPE and only with the written support of the student's Prac II teacher.
Are you a current Holmes Institute student?
For what purpose are you seeking Ecclesiastic Endorsement? *
If it is for employment, please indicate the type of employment: *
If it is for certification choose the organization from which you are seeking certification
Background Disclosure: I have never been the subject of official disciplinary review by a CSL Ethics or other committee or department that resulted in the following: *
• Suspension of Good Standing • Termination of Good Standing • Mandatory Growth Program and/or Counseling
I have never been the subject of official disciplinary proceedings by a professional association, credentialing body, or guild that resulted in disciplinary action. *
No official disciplinary proceedings by a professional association, credentialing body, or guild are pending regarding me at the present time. *
No civil law suit alleging that I attempted or actually engaged in sexual discrimination, harassment, exploitation, or misconduct; physical abuse; child abuse; or financial misconduct has ever resulted in a judgment being entered against me, settled out of court, or dismissed because the statute of limitations had expired *
No civil law suit alleging that I attempted or actually engaged in sexual discrimination, harassment, exploitation, or misconduct; physical abuse; child abuse; or financial misconduct has ever resulted in a judgment being entered against me, settled out of court, or dismissed because the statute of limitations had expired *
With respect to matters not addressed above, I have never been found guilty or pled guilty or no contest to criminal charges. (Do not include acts of civil disobedience.) *
My employment has never been terminated because I attempted or actually engaged in: sexual discrimination, harassment, exploitation, or misconduct; physical abuse; child abuse; financial misconduct. *
I have never terminated my employment or professional credentials in order to avoid facing or to avoid being terminated because of charges of actual or attempted: sexual discrimination, harassment, exploitation, or misconduct; child abuse; physical abuse; financial misconduct. *
In my judgment, there are no facts or circumstances involving me or my background that would warrant further review before my being entrusted with the responsibilities of ministry on behalf of Centers for Spiritual Living. *
I recognize my responsibility to update this background disclosure in a timely manner should there be a change of status in any of the issues named above. *
I confirm that all answers are true and complete to the best of my knowledge. *
I further understand that the information contained in this application may be shared with any current member of CSL Chaplaincy Committee, CSL's Licensing & Credentialing Department, or CSL's Ethics Committee. I also understand that information in my practitioner or ministerial file maybe shared with the CSL Chaplaincy Ecclesiastic Endorsing Sub-Committee at the discretion of the Licensing & Credentialing Department. *

Please note that a check in the amount of $100 (non-refundable if not endorsed; if you are endorsed by CSL the $100 will apply for your first year of endorsement) must be sent to:

CSL Chaplaincy Committee,                                                     Attention: Rev. Paula Belleggie, Ecclesiastic Endorsement                     573 Park Point Dr.                                                                           Golden, CO 80401

No endorsement application will be processed without payment of the application fee.

Additional materials needed

Please submit the following materials in electronic form (PDF) to pbelleggie@csl.org Please reference your application date.

  • A paper describing your faith journey (not an autobiography)

  • A summary paper addressing: a) your interest in and understanding of the specific specialized ministry for which you are requesting endorsement/approval; and b) your understanding of being a representative of Centers for Spiritual Living in this ministry setting.

  • At least three letters of recommendation, on letterhead, focused on applicant’s suitability for the specialized ministry sought.

  • If endorsement is for something other than enrolling in CPE, then provide verification of one years experience in the practice of chaplaincy/spiritual care (Verified by someone other than applicant) if you are a CSL minister or two years in the practice of chaplaincy/spiritual care (Verified by someone other than applicant) if you are a CSL practitioner.

  • Verification of current licensed or ordained status in good standing from CSL Licensing & Credentialing.

  • Certification of educational attainments, including:

    • Bachelor’s Degree/equivalent

    • Master of Divinity degree/equivalent

    • Certificates of successful completion of CPE units (if applicable)

  • Additional documentation/materials maybe requested at the discretion of the CSL Chaplaincy Committee and/or the Ecclesiastic Endorsement Sub-Committee Panel.

  • An extensive background check is required by CSL for endorsement. If you have not completed the currently required level of background check as a licensed practitioner or minister, then you will be asked to do so. The cost of the background check is $250 and is paid by the applicant. To determine if you have the appropriate background check complete, please contact the CSL Licensing & Credentialing Department.

PLEASE NOTE: INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.

YOU WILL NEED TO RENEW YOUR ECCLESIASTIC ENDORSEMENT ANNUALLY DURING THE MONTHS OF JUNE, JULY AND AUGUST. THIS IS DONE BY FILLING OUT A RENEWAL UPDATE FORM (NOT THE FORM ABOVE) AND PAYING $100 EACH YEAR TO MAINTAIN YOUR ENDORSEMENT. This is in addition to your Practitioner or Minister's fee.