LSS Clinical Pastoral Education Application

NOTE: Read through this application in its entirety before you begin filling it out. Completing the application will include 1) a lengthy writing submission and 2) a $50 application fee submitted via PayPal.com.
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  • Personal Information

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  • Contact Information

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  • Education

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  • DateCenterSupervisorCredit Received 
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  • References

  • e.g., District President/Superintendent, Bishop, member of Ordination Committee, Circuit Counselor, etc.

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  • e.g., A professor who knows you well academically and otherwise.

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  • e.g., a supervisor.

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  • e.g., someone who knows your faith journey and has provided guidance.

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  • Writing Submissions

    EMAIL A WORD DOCUMENT OR PDF CONTAINING THE FOLLOWING INFORMATION TO Jeffery.Scheer@LSSLiving.org:

    1. 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.
    2. Describe your family of origin, your current family relationships and your educational growth dynamics (2 to 3 page minimum*).
    3. A description of the development of your religious life, including events and relationships that have affected your faith and currently inform your belief systems (2 to 3 page minimum).
    4. A description of the development of your work (vocation) history, including a chronological list of positions and dates.
    5. An account of an incident in which you were called to help someone, including the nature of the request, your assessment of the “problem,” what you did, and a summary evaluation. You may submit a recent verbatim, if you have one.
    6. Your impression of Clinical Pastoral Education and your educational goals, including how this training will be used to meet your goals for doing ministry.
    7. A description of special needs (Lutheran Senior Services CPE does not offer financial support or other “perks” for the summer unit).
    8. An admissions interview by an ACPE Supervisor or another qualified person (CPE Supervisors, Seminary Liaison Professors, and Regional Directors may recommend an interviewer). An interview with our supervisor(s) is preferred. Please include the name and address of the interviewer.
    IF YOU HAVE PREVIOUS CPE EXPERIENCE, INCLUDE THE FOLLOWING AS WELL:

    1. Copies of previous CPE evaluations written by you and your supervisor.
    2. What was the most significant learning in your previous CPE experience(s)?
    3. What are your personal and professional goals, and how will continued training aid that progress?
  • Application Fee

    When you click the submit button below, you will be taken to PayPal to process your $50 enrollment fee.

    Thank you for your interest in Lutheran Senior Services' ACPE Clinical Pastoral Education program!
  • I Certify...

    ...that all information in this application is is factually true, complete, and honestly presented. I understand that I may be subject to disciplinary action, including admission revocation or program expulsion, should the information I've certified be false. I hereby give permission to the ACPE center to which I am applying to access my CPE evaluations and contact previous supervisory personnel about matters pertaining to this current application, and I consent for those contacted to provide the information sought. I verify that, if sending in this application electronically, it constitutes my electronic signature.
  • Type your name here as your electronic signature.
  • LUTHERAN SENIOR SERVICES (LSS) ASSOCIATION FOR CLINICAL PASTORAL EDUCATION (ACPE) CLINICAL PASTORAL EDUCATION (CPE)

    This program is accredited and Rev. Jeffery J. Scheer is certified by ACPE, Inc.
    One West Court Square, Suite 325, Decatur, GA 30030 Phone: (404) 320-1472.
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