Biblical Counseling and Discipleship Ministry Application Packet

Biblical Counseling and Discipleship Ministry Application Packet Pastor of Counseling: Edward Wilde E mail edw@calvarybiblechurch.org BCDM Counseling Administrator: Shelbi Cullen E mail shelbic@calvarybiblechurch.org

TABLE OF CONTENTS BIBLICAL COUNSELING & DISCIPLESHIP MINISTRY OVERVIEW... 3 BIBLICAL COUNSELING & DISCIPLESHIP MINISTRY APPLICATION... 4 BLOCK ONE EXAM... 5 NANC APPROVED READING LIST... 6 NANC REQUIRED READING LOG... 7 NANC OBSERVATION LOG... 8 BLOCK TWO EXAM... 9 NANC THEOLOGY EXAM... 10 NANC COUNSELOR S EXAM... 11 PERSONAL DATA INVENTORY... 13 COUNSELING CONSENT FORM... 15 COUNSELING CASE REPORT FORM... 17 2 P a g e

BIBLICAL COUNSELING & DISCIPLESHIP MINISTRY OVERVIEW The Calvary Bible Church Biblical Counseling and Discipleship Ministry (BCDM) exists to equip Calvary Bible Church Members in biblical counseling and discipleship care in the life of those at Calvary Bible Church and in their communities. We do this primarily through training and assisting in the NANC certification process. Block One The first block of the Counseling Discipleship Training includes 15 hours of basic biblical counseling courses, and a simple 10-question open book/notes exam. Once all requirements are fulfilled, an application form can be completed and sent to the CBC Counseling Administrator. 1) Complete 15 hours of Block One Basic Training at Calvary Bible Church on Sunday evenings, Biblical Counseling and Discipleship Association (BCDA), or Institute of Biblical Counseling and Discipleship (IBCD). 2) Request and complete the Block One Exam and submit to the CBC counseling Administrator, Shelbi Cullen at scullen@calvarybiblechurch.org. 3) Request and fill-out the CBC Counseling Ministry Application. 4) Schedule an Interview with Edward Wilde, CBC Pastor over Counseling Block Two The second block of the Counseling Discipleship Training and NANC Certification process involves five steps and is designed to finish up basic counseling coursework, Block II exam, and participate in counseling observations. Once all of the requirements are fulfilled the candidate may begin to team counsel with a certified biblical counselor at Calvary Bible Church. 1) Complete 15 hours of Block Two Basic Training at Calvary Bible Church on Sunday evenings, Biblical Counseling and Discipleship Association (BCDA), or Institute of Biblical Counseling and Discipleship (IBCD). 2) Request and complete the Block Two Exam and submit to CBC Counseling Ministry Administrator, Shelbi Cullen at shelbic@calvarybiblechurch.org. 3) Complete 500 pages of required reading from the CBC Counseling Ministry approved list. 4) Complete 10 hours of counseling observations of either a NANC certified counselor at CBC or watch approved counseling DVDs. 5) Complete an 8-week long Practicum Discipleship Class with one of our seasoned counselors. Block Three The third block of the Counseling Discipleship Training and NANC Certification process involves four steps and is designed to help the counselor pass the NANC exam and to finish up the application process for NANC certification. Once all of the requirements have been fulfilled, the candidate will be eligible to serve as a lay counselor for Calvary Bible Church. 1) Complete the NANC Exam Workshop at Calvary Bible Church. 2) Complete the NANC Theological and Counselor s Exam. 3) Complete 500 pages of required reading from the CBC Counseling Ministry approved list. 4) Submit completed paperwork to the National Association of Nouthetic Counselors (NANC) at www.nanc.org Block Four The fourth block of the Counseling Discipleship Training and NANC Certification Process involves three steps and is designed help the counselor to integrate what they have learned in blocks one through three and to complete the NANC certification process. 1) Complete 50 hours of supervised counseling at Calvary Bible Church under the direction of a NANC Fellow. 2) Send copies of all counseling case reports to Pastor Ed Wilde. 3) Attend continuing Education Courses for counseling at IBCD, BCDA, NANC or The Master s College. 3 P a g e

BIBLICAL COUNSELING & DISCIPLESHIP MINISTRY APPLICATION Name Address Phone Email Address Month/ Year Admitted Block One Prerequisites Block One Biblical Counseling Courses (15 Hours) Block One Exam Interview with Pastor Ed Wilde Training Block Two Block Two Counseling Courses (15 Hours) Block Two Exam 500 Pages of Required Reading 10 Hours of Counseling Observations Practicum Mentorship with:.d VDs Block Three NANC Workshop & Exam (N NANC Workshop NANC Exam 500 Pages of Required Reading NANC Application Submitted: Date. Block Four Supervised Counseling Supervised Counseling under. Supervised Hours completed: Date. NANC Certified: Date. The undersigned approved the Four Blocks of Counseling Discipleship Training and NANC Certification as listed above as acceptable and sufficient to fulfill the requirements for CBC Counseling and Discipleship Training and NANC Certification. Counselor Candidate Signature Date CBC Pastor of Counseling Date 4 P a g e

BLOCK ONE EXAM Block One 5 P a g e

NANC APPROVED READING LIST 1 The following books will be helpful to you as you complete your NANC exams. Individuals pursuing NANC Certification are required (as of 12/1/2010) to read 1,000 pages of these resources, 300 pages of which should be out of theology text(s). Counseling Text Competent To Counsel by Jay Adams The Christian Counselor s Manual by Jay Adams Counseling How to Counsel Biblically by John MacArthur (formerly known as Intro. to Biblical Counseling) Seeing With New Eyes by David Powlison The Peacemaker by Ken Sande Instruments in the Redeemer s Hands by Paul Tripp The Moody Handbook of Theology by Paul P. Enns Theology Text A Theology of Christian Counseling by Jay Adams Systematic Theology by Louis Berkhof Christian Theology by Millard Erickson Handbook of Evangelical Theology by Robert P Lightner Basic Theology by Charles Ryrie Systematic Theology by A. H. Strong You can purchase many of these books from the following websites www.frlafayette.org 765-448-1986 www.timelesstexts.com 800-814-1045 Other Useful Resources: Journal of Biblical Counseling (www.ccef.org/jbc_intro.asp The Journal of Modern Ministry (www.timelesstexts.com) 1 http://www.nanc.org/documents/application-packet/11-approved-reading-list-12-08-11-(1).aspx. 6 P a g e

NANC REQUIRED READING LOG 2 A reading requirement of 1,000 pages from Approved Reading List, 300 of which must be from theology text(s) Name: Email: Name of Book From recommended reading list Author # of Theology Pages # of Counseling Pages Total # of pages from theology text Total # of pages from counseling text Total # of Pages Read 2 http://www.nanc.org/documents/application-packet/14-required-reading-log-12-8-2010-(1).aspx 7 P a g e

NANC OBSERVATION LOG 3 (You are required to observe a NANC certified counselor for a minimum of ten hours.) Be sure to provide the information requested below, even if you have watched DVD s or videos. Name Address City, State, Zip Daytime Phone Email Observation Date Name of NANC Certified Counselor Observed Session Length Running Total Total 3 http://www.nanc.org/documents/application-packet/06-observation-log-(1).aspx 8 P a g e

BLOCK TWO EXAM Block Two 9 P a g e

NANC THEOLOGY EXAM 4 Using essay style writing, please respond thoroughly to each of these statements. Write your answers as though you are explaining them to a counselee, defining all terms clearly and precisely. Use 1.5 spacing. Your answers should be 1 page to 1 ½ pages in length. Support all your answers with Scripture. This is an open book exam. You may use any written or oral sources, but you must cite your sources at the end of each answer. **Read FAQ for complete formatting requirements** Bibliology 1. The Bible is spoken of as inspired. What does this mean? 2. What is the relationship between infallibility and authority? 3. What is the Bible s authority on theological controversies? 4. Compare and contrast the Bible and its authority to general revelation and its authority. 5. Many Christians today speak of continuing revelation. Relate this concept to inspiration and sufficiency of the Scripture. Relate this concept to the issue of miracles, prophecy and tongues. Theology Proper 1. State briefly the biblical basis for, and formulate the doctrine of, the Trinity. 2. List and develop five attributes of God and how they relate to the believer s life and counseling. 3. State briefly the biblical basis for, and formulate the doctrine of, God s omniscience. Relate this doctrine to the teaching of open theism. Anthropology 1. Who and what is man? 2. What role does anthropology play in counseling theory and practice? Christology 1. Why did Christ die? 2. He was tempted in all things as we are (Heb. 4:15). Discuss and relate to counseling theory and practice. Soteriology 1. Justification by faith alone. Discuss the meaning of this phrase. 2. Sanctification is said to be past, present, and future. Discuss, including the idea of union with Christ. 3. Do Christians persevere? What relationship does this have to counseling? Pneumatology 1. Who or what is the Holy Spirit? 2. What role does this Spirit play in the believer s life and the counseling process? 3. Does the Holy Spirit guide Christians? If so, what means and methods does He use? Ecclesiology 1. What is the church? 2. What role does the church play in the believer s life and the counseling process? 3. What is the biblical teaching on women being ordained as officers of the church? 4. What authority, if any, does the church have over individuals and the counseling process? General Questions 1. Are you involved in a larger group, organization, or denomination, which disagrees with NANC s Statement of Faith? If so, how do you differ from your larger group? Explain what you are doing to influence your group towards NANC s position. 2. If received as a NANC member, can you unequivocally sign the membership covenant? 4 http://www.nanc.org/documents/application-packet/09-theology-exam-12-10.aspx 10 P a g e

NANC COUNSELOR S EXAM 5 Using essay style writing, please respond thoroughly to each of these statements. Write your answers as though you are explaining them to a counselee, defining all terms clearly and precisely. Use 1.5 spacing. Your answers should be 1 page to 1 ½ pages in length. Support all your answers with Scripture. This is an open book exam. You may use any written or oral sources, but you must cite your sources at the end of each answer. **Read FAQ for complete formatting requirements** 1. What are the goals of biblical counseling? 2. Are the Scriptures sufficient for biblical counseling? Explain your position. 3. What are some of the important needs in the first session? 4. Describe how to develop involvement with a counselee. What is the difference between empathy and involvement? Is this difference significant? 5. What is data gathering? Why is it important? 6. Explain the need for homework. Also explain the need for specific, concrete homework in contrast to general, vague homework. 7. Define guilt biblically. Is false guilt a biblical concept? How do you deal with guilt in the context of counseling? 8. Write a paragraph or two on the problem of eclecticism in counseling and your position in reference to it. 9. Define the concepts of presentation level and performance level. Use a case history, in which you were the counselor, to show the necessity for moving from the presentation level to the performance level. 10. Define the concept of preconditioning level. Use a case history, in which you were the counselor, to show the necessity for moving from the performance level to the preconditioning level. 11. Define a complicating problem. Give a concrete example. 12. Define "halo data" and give some examples of halo data for depression. 13. Define and describe the importance of language in counseling. Give examples. 14. Explain the significance of Eph. 4:17-25, and similar passages for Biblical counseling. 15. Describe and diagram how depression develops and is to be alleviated. 16. Define anger biblically. Describe at least five ways people deal with anger. Describe both sinful and godly ways of dealing with anger. 17. Give some typical assignments for a person who is depressed. Next, do the same for a person who worries. Finally, do the same for a person who is afraid. Don t discuss what you would do in giving assignments; rather give actual assignments as you would write them down for the counselee. 18. Describe how you deal with sin in counseling. Use a case history, in which you were the counselor, to show how you dealt with sin. 19. Outline a comprehensive counseling program to help a couple develop good communication patterns. 20. Would you work cooperatively with a physician? A psychologist? Justify your answers biblically. 5 http://www.nanc.org/documents/application-packet/10-counselor-exam-12-10.aspx 11 P a g e

21. Define total restructuring. Describe how it works, using a case regarding homosexuality as the model. 22. Develop a biblical view of emotions. Use both the Old and New Testaments in your answer. How can emotions be changed biblically? 23. List several reasons for terminating a counseling case. Answer this for cases terminated because of spiritual change (growth) and spiritual hardening (failure to comply). 24. Is there any place in biblical counseling for casting out demons? In your answer, include your position on demonic activity in the post-apostolic era and the biblical methodology of dealing with it. 25. What does it mean to minister the Scriptures in counseling? Contrast a ministry of the word model and a professional medical model. 26. Write a short paragraph on each of the following: healing of the memories, visualization techniques, 12-step and other recovery programs, self-image. In your answer, define and give a biblical analysis of each concept. (Do not guess. Research these concepts.) 27. With which Christian counselors if any do you agree? On which points do you agree with them and why? Be specific and concrete with names and concepts. Use two or three counselors as examples. 28. Does your church presently practice church discipline? If not, would you be willing to graciously encourage them toward this position? 12 P a g e

PERSONAL DATA INVENTORY Please complete this inventory carefully PERSONAL IDENTIFICATION Name Birth Date Address Zip Age Sex Referred By Marital Status: Single Engaged Married Separated Divorced Widowed Home Phone Business Phone Cell Phone Email Employer Position Years MARRIAGE AND FAMILY Spouse Birth Date Age Occupation How Long Employed Home Phone Business Phone Date of Marriage Length of Dating Give a brief statement of circumstances of meeting and dating Have either of you been previously married Who Have you ever been separated Filed for divorce INFORMATION ABOUT CHILDREN Name Age Sex Yr. Educ. Step-Child HEALTH Describe your health Do you have any chronic conditions What List important illnesses and injuries or handicaps Date last medical exam Report Physician s name and address Current medication(s) and dosage Have you ever used drugs for other than medical purposes If yes, please explain Have you ever been arrested Do you drink alcoholic beverages If yes, how frequently and how much Do you drink coffee How much Other caffeine drinks How much Do you smoke What Frequency Have you ever seen a psychiatrist or counselor If yes, explain 13 P a g e

SPIRITUAL Denominational preference Church attending Member Church attendance per month: please indicate number between 0 8+ times Do you believe in God Do you pray Would you say that you are a Christian, or still in the process of becoming a Christian Have you been baptized How often do you read the Bible Never Occasionally Often Daily Explain any recent changes in your religious life Please indicate d a y s o f th e w eek and t im es that you are available to meet with a counselor: SPOUSE Is your spouse willing to come for counseling Is your spouse in favor of your coming If no, explain PROBLEM CHECK LIST Anger Depression Loneliness Anxiety Drunkenness Lust Apathy Envy Memory Appetite Fear Moodiness Bitterness Finances Perfectionism Change in lifestyle Gluttony Rebellion Children Guilt Sex Communication Health Sleep Conflict (fights) Homosexuality Wife abuse Deception Impotence A Vice Decision Making In-laws Other BRIEFLY ANSWER THE FOLLOWING QUESTIONS 1. What brings you here? 2. What have you done about this problem? 3. What are your expectations from counseling? 4. Is there any other information we should know? 14 P a g e

COUNSELING CONSENT FORM Please read the following form CAREFULLY. You will be asked to sign this form to indicate that youhave read and understood this form. BIBLICAL COUNSELING: We are offering to provide you biblical counsel ; the process is referred to as biblical counseling. Biblical counsel is given to help you meet the challenges of life in such a way as to please and honor the Lord Jesus Christ. Our desire and prayer is that the Lord help you grow in spiritual maturity and prepare you for usefulness in His body. The counsel we provide is biblical; that is, according to scriptural principles since God s Word states that He has provided, through His promises, all that believers need for life and godliness (2 Timothy 3:16-17; 2 Peter 1:3-4). We see scripture as sufficient in these areas. Our counsel is religious in nature, conducted under the authority and leadership of Calvary Bible Church. in accordance with this conviction, our counselors are not trained as nor are they licensed as psychotherapists or mental health professionals. We do not make referrals to those who provide what is generally referred to as psychotherapy, such as licensed psychologists, licensed clinical social workers, or similar persons. This does not mean that we will not cooperate with professionals who provide services such as medical, financial or legal services. However, our cooperation will only be provided within the context of biblical counseling. Our counsel is not intended to replace the services of a medical doctor when organic problems are present or medication has been prescribed. The decision to obtain such assistance must be made by you with the help of appropriate professionals. We have no obligation to assist you in the work of obtaining assistance from medical professionals, nor do we claim to have any particular expertise in determining whether or when the assistance of medical professionals would be appropriate. FEES: Biblical counseling is part of the pastoral ministry of Calvary Bible Church ( CBC ). You will not be asked to pay any fees expressed or implied. You may, however, be requested to purchase a limited amount of materials, such as a book. CONFIDENTIALITY: We will appropriately keep confidential the information you entrust to us. However, that does not mean that your information will be kept confidential in all circumstances. Because you are seeking pastoral, biblical counseling, we want you to understand that there may be times when it is necessary to share such information with others. Examples include, but are not limited to, the following: 1. When a counselor is uncertain as to how to address a particular counseling issue, he may seek advice from a pastor or another counselor. 2. When a counselee threatens harm to another person, it may be necessary to intervene in order to prevent such harm. In the case of spousal or child abuse, or other crime, the law may require a counselor to reveal this information to appropriate authorities. 3. Observers may sit in on sessions, to assist the counselor or for training purposes. Such observers will be present only with your consent. Initials 15 P a g e

4. If, in the course of counseling, the counselee is confronted with a particular sin, yet refuses to repent of it, it may be necessary to get the assistance of other pastors or counselors to encourage repentance and reconciliation (Proverbs 15:22; 24:11; Matthew 18:15-20). We will disclose only such information as is necessary in accord with the Scripture, and only to those biblically required to be involved. If you are a member of another church, it will likely be necessary to contact the pastor or other leadership of your church. If you are a member of CBC, this information will be used in accordance with the process spelled out in Matthew 18:15-20 and our By-Laws. WAIVER OF RIGHT TO JURY TRIAL ARBITRATION: The Lord prohibits believers from bringing lawsuits against one another (1 Corinthians 6:1-8). Therefore, in order to hold fast this teaching,the leadership of CBC has found it necessary to require all counselees to agree that any dispute with acounselor or with CBC will first be attempted to be settled by mediation. If mediation fails, you agree that you will resolve any and all claims against CBC or against any counselor of CBC by binding arbitration conducted according to the Rules of Procedure of the Institute for Christian Conciliation (copy available on request). The arbiters may be the elders of CBC or, if the dispute involves an elder or elders, a member of Christian Conciliation Ministry. By signing this consent form, you are waiving your right to a trial in the civil courts, including a trial by jury. Initials By my signature below, I am saying: I fully understand the above guidelines. I have had an opportunity to seek independent advice regarding this consent. I am giving my own independent and informed consent to these counseling guidelines. I agree to waive my right to jury trial and agree to submit all claims to arbitration. Signed Date PRINTED NAME Distribution: Counselor file Church office file 16 P a g e

COUNSELING CASE REPORT FORM 6 National Association of Nouthetic Counselors - Case Report Form Type your answers to these questions and bring your answers to class for discussion. Counselee Date Session # Counselor Session Length 1. Significant background information. 2. Summary of reasons they came for counseling (presentation problem). 3. What changes were made by the counselee since last session (as a result of applying last session s counsel and performing last session s homework)? 4. What main problem(s) were discussed in this session? 5. What unbiblical habits of thinking/behavior are you seeing in the counselee (preconditioning)? 6. What idols/heart issues are emerging? ( I must. ) 7. What biblical solutions were presented in this session (tie in with #4)? 8. What homework was given and how did it specifically apply to the problems (tie in with 4)? 9. If someone asked the counselee right after the session, What did you learn that you needed to change, what would you want the counselee to say? (I encourage each counselor to ask the counselee towards the end of the session, What was the most important thing that you learned today that you can apply to your life this week? ) 10. How was hope or encouragement given in this session? 11. How is the overall counseling process progressing and what issues have been sufficiently addressed by you and changed by the counselee? 12. What are your goals for future sessions? If the sessions are not moving, review Jay Adams 50 Failure Factors Christian Counselor s Manual - pages 459-461 6 http://www.nanc.org/documents/application-packet/15_casereportform.aspx 17 P a g e