Chaplain (Clinical Pastoral Education Supervisor)


Vacancy ID: 678310   Announcement Number: 678310   USAJOBS Control Number: 318303100

Social Security Number

Your Social Security Numbers is requested under the authority of Executive Order 9397 to uniquely identify your records from those of other applicants who may have the same name.  As allowed by law or Presidential directive, your Social Security Number is used to seek information about you from employers, schools, banks, and others who may know to you.  Failure to provide your Social Security Number on your application materials will result in your application not being processed.
Vacancy Identification Number

The Vacancy Identification Number is: 678310
1. Title of Job

Chaplain (Clinical Pastoral Education Supervisor)
2. Biographic Data

3. E-Mail Address

4. Work Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

5. Employment Availability

6. Citizenship

Are you a citizen of the United States?
7. Background Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

8. Other Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

9. Languages

If you are applying by the OPM Form 1203-FX, leave this section blank.

10. Lowest Grade

12

11. Miscellaneous Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

12. Special Knowledge

If you are applying by the OPM Form 1203-FX, leave this section blank.

13. Test Location

If you are applying by the OPM Form 1203-FX, leave this section blank.

14. Veteran Preference Claim

15. Dates of Active Duty - Military Service

16. Availability Date

17. Service Computation Date

If you are applying by the OPM Form 1203-FX, leave this section blank.

18. Other Date Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

19. Job Preference

If you are applying by the OPM Form 1203-FX, leave this section blank.

20. Occupational Specialties

001 CPE Supervisor

21. Geographic Availability

Select/enter at least one geographic location in which you are interested and will accept employment. The location code for this position is:


462450099 Sioux Falls, SD

22. Transition Assistance Plan

If you are applying by the OPM Form 1203-FX, leave this section blank.

23. Job Related Experience

If you are applying by the OPM Form 1203-FX, leave this section blank.

24. Personal Background Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

25. Occupational/Assessment Questions:

1. Select the certification that you possess by theĀ AssociationĀ for Clinical Pastoral Education (ACPE).

A. I am not certified as a CPE Supervisor by the ACPE.
B. I am certified as an Associate Supervisor of CPE by ACPE. You must submit a copy of the ACPE certification.
C. I am certified as an full Supervisor of CPE by ACPE. You must submit a copy of the ACPE certification.

2. Do you currently have an outstanding violation of the education standards from the Association for Clinical Pastoral Education?

A. Yes
B. No

3. Are you currently under any sanction for ethics violation with the Association for Clinical Pastoral Education?

A. Yes
B. No

4. Do you have current membership in the Association for Clinical Pastoral Education?

A. Yes
B. No

5. Have you supervised students in an ACPE-accredited program at least once in the past three years?

A. Yes
B. No

6. I am proficient in written and spoken English.

A. Yes
B. No

7. I have performed spiritual assessments, formulated care plans, and documented them in medical records within the past three years

A. I have not done this
B. I have done this as a Staff Chaplain (not as a CPE Student)
C. I have done this as a Staff Chaplain (not as a CPE Student) in a Department of Veterans Affairs Medical Center

8. I have served as a fully-functioning member of one or more interdisciplinary health care teams in a hospital or other health care facility within the past three years

A. I have not done this
B. I have done this as a Staff Chaplain (not as a CPE Student)
C. I have done this as a Staff Chaplain (not as a CPE Student) in a Department of Veterans Affairs Medical Center

9. How much continuing education have you completed in the past year directly related to providing spiritual and pastoral care in a health care setting?

A. 10 hours
B. 20 hours
C. 30 hours
D. 40 hours
E. More than 50 hours

10. I have provided group spiritual/pastoral counseling in a health care facility

A. I have not done this
B. I have provided group spiritual/pastoral counseling as a Staff Chaplain in a health care facility
C. I have initiated new patient care groups as a Chaplain in a health care facility
D. I have provided group spiritual/pastoral counseling as a Staff Chaplain in a Department of Veterans Affairs medical center.

11. Please choose the answer that most accurately describes your experience in individual spiritual/pastoral counseling in a health care facility

A. I have not done this
B. I have performed individual spiritual/pastoral counseling as a Staff Chaplain in a health care facilty
C. I have performed individual spiritual/pastoral counseling as a Staff Chaplain in a Department of Veterans Affairs medical center

12. Please choose the answer that most accurately describes your education and experience.

A. In addition to my Master of Divinity degree (or equivalency) I have a bachelor's or higher degree in a behavioral science
B. I have worked as a member of interdisciplinary health care team(s) treating persons with a variety of physical and mental disabilities. I have prepared spiritual assessments and treatment plans
C. In addition to working as a member of an interdisciplinary health care team I have successfully conducted units of Level I, Level II, and Supervisory CPE (SES) through classroom instruction and by providing individual and group supervision.

13. I have collaborated with clergy of other faith groups to provide spiritual and pastoral care in a health care setting

A. I have not done this
B. I have done this as a chaplain in the military or in a prison
C. I have done this as a Clinical Pastoral Education Student (resident or intern)
D. I have done this as a Staff Chaplain in a health care facility

14. I have located appropriate persons in the community to provide for hospitalized individuals' religious needs when no Staff Chaplain could do so

A. I have not done this
B. I have done this as a CPE Student (resident or intern)
C. I have done this as a chaplain in the military or in a prison
D. I have done this as a Staff Chaplain (not during CPE training.)
E. I have done this as a Staff Chaplain (not during CPE) in a Department of Veterans Affairs facility.

15. Please choose the answer that most accurately describes your expertise in ethical decision-making in a hospital setting

A. I have not advised patients, family members, and staff on ethical issues
B. I participated in ethical decision-making as a Clincal Pastoral Education student (resident or intern) in a health care facility
C. I participated in ethical decision-making as a Chaplain in a health care facility
D. I have been a member of a hospital ethics committee
E. I have led or chaired a hospital ethics committee

16. Please choose the answer that most accurately describes your expertise in advising and assisting patients in ethical decision-making in a hospital setting

A. I have advised my parishioners on ethical issues pertaining to their health care.
B. I assisted patients in ethical decision-making as a Clincal Pastoral Education student (resident or intern) in a health care facility
C. As a hospital chaplain I assisted patients in ethical decision-making.
D. As a hospital chaplain I have advised patients about ethical decision-making, including end of life decision-making, assisting with writing advance directives and powers of attorney

17. Please select the answer that most accurately describes your training and/or experience pertaining to dispute resolution

A. I have not used formal dispute resolution techniques to resolve disputes between students or in the workplace
B. I have completed training in dispute resolution techniques
C. I have resolved disputes between co-workers, students, and/or between employees and supervisors
D. I have used formal dispute-resolution procedures to resolve disputes between co-workers, patients, students, and/or between employees and supervisors
E. I train others in formal dispute-resolution techniques

18. Please choose the answer that most accurately describes your training and/or experience in documenting health care in electronic medical records

A. I have not documented spiritual/pastoral care in electronic medical records
B. I have completed training in the use of electronic medical records
C. As a Clinical Pastoral Education resident or intern outside of the Department of Veterans Affairs I documented spiritual and pastoral care in electronic medical records
D. As a Chaplain in a Department of Veterans Affairs medical center I have entered and retrieved information about patient care in electronic medical records within the past two years.
E. I have trained chaplains or CPE Students in documenting patient care in electronic medical records.

19. Please choose the answer that most accurately describes your training and/or experience pertaining to documenting spiritual and pastoral care

A. I have not documented care in a formal system of medical records
B. I completed training or a class about medical records
C. I have documented my visits to patients in a formal system of medical records
D. I have entered or reviewed progress notes, treatment plans, discharge plans, education notes, in a formal system of medical records as a Clinical Pastoral Education resident or intern
E. I have entered or reviewed progress notes, treatment plans, discharge plans, education notes in a formal system of medical records as a staff chaplain or CPE Supervisor
F. I have trained chaplains or CPE Students in documenting patient care in a formal system of medical records

20. Please choose the answer that most accurately describes your experience and training that demonstrates your ability to provide spiritual and pastoral care for Military Members/Veterans

A. I have provided spiritual and pastoral care for Military Members/Veterans in my congregation
B. I have provided spiritual and pastoral care for members of the military as an active duty military chaplain
C. I have provided spiritual and pastoral care for Veterans as a Clinical Pastoral Education resident or intern in a Department of Veterans Affairs medical center
D. I have provided spiritual and pastoral care for members of the military as an active duty military chaplain assigned to a military hospital
E. I have provided spiritual and pastoral care for Veterans as a chaplain in a Department of Veterans Affairs medical center

21. Please choose the answer that most accurately describes your experience or training in providing for the needs of returning service-members

A. I have provided pastoral care for members of my congregation who returned from military service
B. I have completed training given by the Department of Veterans Affairs or the Military regarding the spiritual needs of persons returning from active duty
C. I have trained members of my faith group about the spiritual needs of returning service-members
D. I have trained CPE Students, or clergy in my community about the spiritual needs of returning service-members

22. How many years experience do you have conducting individual units of Level I and Level II CPE?

A. 2 or less
B. 3 to 5
C. More than 5

23. How many years experience do you have conducting second year/specialty/fellowship CPE programs?

A. 2 or less
B. 3 to 5
C. More than 5

24. How many years experience do you have conducting CPE residency programs?

A. 2 or less
B. 3 to 5
C. More than 5

25. How many years experience do you have conducting supervisory (SES) training CPE programs?

A. 2 or less
B. 3 to 5
C. More than 5