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Master of Divinity / Clinical Pastoral Education
Program Application

Personal Information



If not, do you have the following:


Previous CPE Experience


Denomination/Faith Group:






Attach the following materials with this application

A reasonably full account of your life, including important events, relationships with people who have been significant to you, and the impact these events and relationships have had on your development. Describe your family of origin, your current family relationships and your educational growth dynamics.

A description of the development of your spiritual life, including events and relationships that have affected your faith and currently form your belief systems.

A description of the development of your work (vocation) history, including a chronological list of positions and dates.

An account of an incident in which you were called upon to help someone, including the nature of the request, your assessment of the "problem", what you did, and a summary evaluation. If you have previously had CPE include this information in the form of a verbatim.

Your impression of Clinical Pastoral Education (CPE) and your educational goals, including how this training will be used to meet your goals for future ministry.

An essay of 300 to 500 words expressing interest in the Chaplaincy Ministry.

A letter of recommendation from a Chaplain indicating a minimum of thirty (30) hours of volunteer work performed in a health care setting.

Please attach a passport size photo in color.

Those with previous CPE should complete the following:

Copies of all previous CPE supervisor and self evaluations.

What was the most significant learning experience in previous CPE and how have you continued to work in this learning method? Illustrate your strengths and weaknesses as a professional person.

What are your personal and professional goals and how will continued training aid in that process?

If you have any questions about the MDIV/CPE Application, please contact us at (407) 357-2459. Click Submit below to forward your completed application package.