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To Mike and Jason Wilkins

Subject: Counselor Review needed: {{ applicant.full_name }}

Hi,

This applicant needs a Counselor Review before moving forward. A separate email has been sent both to you and to the local church leadership explaining the need to talk with the participant about seeing a counselor along with next steps.  Once the counselor review has been received, please fill out the counselor review section in Breezy and email lt@reliant.org a copy of the safety plan. The LT Admin will share the safety plan with the LT directors.  

Reminder info below if needed:

Applicant's information

Name:  

Email: 

Phone number:   

Program Applying For: 

• Have you previously applied for a Collegiate LT? 
  
• Have you previously attended a Collegiate LT?  
  • Which LT location(s) and date(s) did you attend?

Reliant reviewer's thoughts if they had applied before:

Which collegiate church do you attend?

School: 

• Spiritual Reference Name:
• Spiritual Reference Phone Number: 
• Spiritual Reference email:

Concerns found: Reliant Review

Spiritual health:  

Emotional health:  

Moral health:

Parental concern:

Reference concern:

Other:

Concerns found: Collegiate Review

Spiritual health: 

Emotional health:   

Moral health:

Parental concern:

Reference concern:

Other:  

Local leadership Name: 

Local Leadership Email

Follow up from local leadership:

Suggested conditions for acceptance (prior to National Review.) 

National Review

Comments from National Reliant Review:

Comments from National Collegiate Review: 

To Mike and Jason and local church pastor

Subject: Counselor Review Instructions: {{ applicant.full_name }}

Hello!

The National LT Program Reviewers have requested a counselor review for  {{ applicant.full_name }}  due to the nature of the concerns on their assessment.  

The applicant may or may not have been asked this question based on their responses in the assessment (so the below answer may be blank), but here are their responses on their assessment regarding counseling: 

• Are you currently seeking a counselor for your suicidal concerns?:
• Have you discussed your participation in this program with your counselor?: 
• If accepted into the Program, would you plan to continue seeing a counselor during the Program?: 
• If needed, would you be willing to consent to signing a release with your counselor asking them to fill out a current assessment and stabilization plan to share with our national LT assessor to assess readiness for your attendance for this Program?:

Please follow up with the applicant to confirm that they are willing to ask their counselor for a current assessment and stabilization plan and share this information below on how to receive a current assessment and stabilization plan.  Mike Klunke can assist you with any questions. There may have also been other conditions requested for this applicant that Mike will share with you as well when he follows up. 

It is a standard procedure for a counselor to talk to someone about their client if the applicant is willing to sign a release form. The counselor is then able to share their current assessment and stabilization plan. Please ask the applicant to sign a release form with their counselor (the release form would be given to them by the counselor upon their request) giving the counselor permission to share their current assessment and stabilization plan for Program attendance with Mike Klunke (National LT Assessor) as the receiver. Mike Klunke's email is mike.klunke@reliant.org. 

Here is sample letter template that you can share with the applicant to fill out together with their counselor to receive their current assessment and stabilization plan for their attendance to the Program.  Sample Letter from Counselor

We also require all applicants needing a counselor review to create a safety plan.  A copy of this plan will be shared with the Program Directors, the Program leader assigned to meet with the participant, and Reliant. Please ask the applicant to fill out this safety plan (we recommend local leadership reviewing it with them) and please send a completed plan to Mike Klunke (mike.klunke@reliant.org). Safety Plan Template

Most counselors will not be able to continue meeting remotely during the summer due to the fact that the applicant will be in a different state. If needed, you can ask the applicant if they would potentially be willing to meet with a local counselor during the Program.  Reliant missionaries can view Counseling for Event Acceptance on Solomon for more details on options for counseling at the different Programs to discuss the options with the applicant.   

Please also inform the applicant so that they are aware that if they are accepted, it is always recommended that an applicant needing a counselor review be assigned a LT Program leader to meet with on a regular basis during the Program for accountability. If possible, we suggest that the LT Program Director reach out to the applicant prior to the beginning of LT to follow up and see how things are currently going (in case things have changed between now and the beginning of LT) and also to let them know the name of the leader that will be meeting with them over the summer. 

Recommended Steps for talking with the applicant: 

The local church leadership would set up a meeting with the applicant and explain the following:

• Share with the applicant that we are excited for him/her to have this opportunity.
• Discuss that we want to make the program a success for them.
• Explain that there are some condition(s) that he/she needs to meet in order to be accepted.
• Explain to him/her the needed current assessment and stabilization plan from his/her counselor/therapist and how to obtain that as outlined above
• We will also need a filled out safety plan 
• Explain that we will need to wait for National Directors to review the counselor's current assessment and stabilization plan before we move forward.
• Explain to them that if he/she is conditionally accepted, one of the conditions is generally to meet with a staff member for # of weekly meetings for check-in, accountability, and to care for him/her and ask if they would be willing to do that. And let them know that they may also be contacted a few weeks before LT begins by a Program leader begins to follow up. 
• Discuss the possibility of pursuing counseling over the summer with a local counselor (if necessary.)
• After the meeting, respond back to Mike Klunke with how the meeting went, and if he/she agrees to those condition(s).