Clinical Pastoral Education Application

Online Application

  • Applying For

  • Date Format: MM slash DD slash YYYY
  • Applicant Info

  • Date Format: MM slash DD slash YYYY
  • Prior CPE

    You will need to submit copies of ALL previous self-final evaluations and ALL previous supervisory final evaluations for programs listed below:
  • CPE #1
  • Date Format: MM slash DD slash YYYY
  • CPE #2
  • Date Format: MM slash DD slash YYYY
  • CPE #3
  • Date Format: MM slash DD slash YYYY
  • Academic Reference

  • Denominational Reference

  • Professional Reference

    A person who can speak to your readiness to take CPE.
  • Long-Form Questions

  • Include, for example, significant and important persons and events, especially as they have impacted, or continue to impact, your personal growth and development. Describe your family of origin, current family relationships, and important and supportive social relationships.
  • Include, for example, the faith heritage into which you were born and describe and explain any subsequent, personal conversions, your religious vocational call, religious experiences, and significant persons and events that have impacted, or continue to impact, your spiritual growth and development.
  • Include a chronological list of jobs/positions/dates of employment and a brief statement about your current employment and work relationships.
  • Include the nature and extent of the request, your assessment of the issue(s), problem(s), situation(s). Describe how you came to be involved and what you did. Give a brief, evaluative commentary on what you did and how you believe you were able to help. If you have had prior and recent CPE, please attach a copy of a recent verbatim as your 'helping incident' and add to the verbatim your own notes on how and what you learned from sharing this verbatim with your supervisor and/or peers. If you have had CPE, but it was more than two years ago, include a recent account of a helping incident, written up in a verbatim format. If possible, include feedback from religious/spiritual colleagues and/or administrative supervisor.
  • Indicate, for example, what you believe or imagine CPE to be. Indicate if CPE is being required of you. Indicate any learning goals or issues of which you are aware and would like to address in CPE. Finally, indicate how CPE may be able to help you meet needs generated by your ministry or call to ministry. If you have had prior CPE, please indicate the most significant learning experience you had during CPE. State how you have continued to use the clinical method since your previous experience. Indicate strengths and weaknesses that you have as they relate to your ministry and your identity as a professional person. Indicate any personal and/or professional learning goals and issues that you have at this time and how you believe that CPE will help you to attain or address these learning goals and issues.
  • If you indicated a site placement preference, please write about this preference. If you have a preference in placement sites, please elaborate on the factors important in how you came to that preference. (this answer may be used in determining your interviewing process and team of interviewers, so please include all factors important in your decision preference).
  • Acknowledgements

  • Application Fee

  • Price: $50.00
  • American Express

The application fee is non-refundable.


All completed applications will be reviewed by Grady Center for Spiritual Care and Education to conduct an evaluation of the applicant’s qualifications.  Only qualified applicants will be invited to complete an admissions interview as part of the application process.


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