Home : Clinical Pastoral Education ApplicationClinical Pastoral Education Application

This application is the student’s request that his/her CPE unit count toward Gateway Seminary’s TFE requirement. 

  • Student enrolls in an accredited, third-party CPE provider. Student is responsible to the CPE provider for the cost of the CPE unit.
  • Completion of this form serves as the student’s request to substitute CPE for his/her TFE requirement.
  • Student is responsible for the tuition cost of the four credit hours granted toward their TFE requirement upon successful completion of the CPE unit.
Clinical Pastor Education (CPE) Application

 

Campus*

Degree*

Submit application at least 30 days prior start of semester. We need time to approve the application. CPE units start at a variety of times.

CEP Program Application Status
I have*

You must be accepted into a CPE program for final approval into P2553: Clinical Pastoral Education. You may begin the seminary approval process as soon as you have started the application to a CPE program. As soon as you receive the CPE approval letter, submit it and a copy of your CPE application to the supervising professor.

The CPE program is*

CPE Center Information

Address of CPE Center*

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( )   -

CPE Program Affiliation*

The CPE Center has a Parent Institution*

CPE Supervisor Information

 

Mailing Address*

,    

( )   -

Supervisor Certification Level*

Certifying Organization*

I agree to submit the documents listed below and to participate in a course review with the supervising professor at the end of the CPE unit.*

(1) The CPE unit list of activities (Individual Supervision, Group Supervision, Clinical Hours and Activities, Reading, and Writing Assignments); (2) The Learning Contract; (3) The-Mid-Unit Self-Evaluation; (4) The Final Self-Evaluation; (5) A Pastoral Care Report (verbatim); and (6) The Supervisor’s Final Evaluation of the Student.

Ministry Organization Information
Ministry Setting*

Check all that apply.

Student's Position Title*