Coaching / Counseling Informed
Consent Form
As
a seminarian in formation, I voluntarily agree to abide by the following:
1. initiate
contact with and conscientiously attend my monthly counseling / coaching
session with my assigned Counselor / Coach in the duration of the assignment
(e.g., inform my Counselor / Coach as early as possible if there is a foreseen
conflict in schedule).
2. cooperate
as best I could with crafting the goals and processes of my sessions with my
Counselor / Coach.
3. freely
give my comments and feedbacks to ensure the best possible outcome of the
process.
4. focus
on myself rather than on other people and only mention them in as far as they
are relevant to my personal process.
5. be
open with my own strengths and weaknesses in so far as I believe that in doing
so, my process towards psycho-spiritual wholeness will be facilitated.
6. input
my personal notes and reflections in my Human Formation Journal right after
every Counseling / Coaching session for personal monitoring, evaluation, and
integration purposes, possibly using the format on item 8 below.
7. adhere
to mutually agreed upon homework assignments and other activities promptly and
enthusiastically.
8. permit
my Counselor / Coach to make a per session Counseling / Coaching Report to be
submitted to Dr. Domingo Rayco, Jr., External Coordinator of Human Formation
and Fr. Dave Capucao, Formation House Rector for monitoring and evaluation
purposes, with the following suggested format:
|
DATE,
TIME, PLATFORM |
DIAGNOSIS
(Issue) |
TREATMENT
(Technique) |
OUTCOME |
HOMEWORK
/ PLAN / REMARKS |
|
|
|
|
|
|
9. permit
my Counselor / Coach to discuss my case and consult with other SJFH Volunteer
Counselors / Coaches in general terms and when necessary during their Quarterly
Meetings with Dr. Rayco & Fr. Capuao and beyond, when needed.
10. cooperate
in making a quarterly evaluation of my sessions to be submitted to Dr. Rayco
& Fr. Capucao.
__________________________________________
SEMINARIAN’S Signature over Printed Name
& Date
Accepted
by:
___________________________________________________
COACH
/ COUNSELOR’S Signature over Printed Name of & Date
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