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Positions are offered on a space
available basis, so we encourage you to call first to check
on space availability before submitting your
application.
- Complete the UVa Application for
Clinical Pastoral Education form. You can download the UVa CPE application
and Letter of Reference
Form to print off and fill in by hand (Adobe Acrobat Reader
required), or you can fill out the secure online application form.
A link to the form is located on the bottom of this page. If using
the online form, please be sure to use the print-friendly version of
the form and print a copy before submitting. Sign the form
and attach a recent photo. Then send with the following
answered questions and the non-refundable $50 processing fee.
Make checks payable to: UVAHS Chaplaincy Services and Pastoral
Education.
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Please answer the following. The
integrity of the information provided is essential. In a separate
statement give a reasonably full account of your life and personal
development up to the present time. Include any information you believe
is significant and in particular, cover the following
points: early family life, religious development and significant
turning points in your life, educational experiences (degree majors,
etc.), current family life, and occupational history.
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In separate statements, please answer
the following questions and provide explanations, if
needed.
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Have you ever been suspended or
dismissed from another CPE program? If yes, please
explain.
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Have you ever been convicted of any
felony or misdemeanor, excluding non-moving traffice violations? If
yes, explain all circumstances surrounding the conviction.
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Is there anything else we should know
about you that has not been covered in these two questions? If so,
please explain.
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Hours of service and education may be
significant at times. Due to this context, comment on your present
state of health (physical and emotional). Your comment should reflect
answers to two questions in particular. Do you currently suffer from
any health or emotional problem that affects or may affect, your
ability to perform your duties as an intern in the department? Do you
take any medication or drugs, including alcohol or any form of drug,
legal or illegal, which may affect your ability to perform your duties
as an intern in the department?
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Give a statement of your professional
goals and your goals for ministry. Include how you expect to utilize
clinical pastoral education. Include in this statement your impressions
of clinical pastoral education and your reason for making
application.
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Provide an evaluation of your pastoral
experience. If you have not had pastoral experience describe an
incident in which you were called to help someone, the nature of the
request, your understanding of the request, and how you attempted to
help.
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If applicable, submit copies of
your and your supervisor's evaluations of previous clinical pastoral
education.
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Applicants may have an Admissions
Interview with any CPE Supervisor or other qualified person (CPE
Supervisors, Seminary Liaison Professors, and ACPE Regional Directors
may recommend interviewers).
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For current UVa/Lynchburg CPE
Interns: If you choose to reapply for another unit of CPE, you
will need to submit a new application. For item #2, please update your
personal history to include reflections on this past unit of CPE.
Update item #5 with new learning goals, including how you will utilize
another unit of CPE. Please be responsible for making your own copies
of evaluations.
**Online Applicants**
We need a signed copy of the online application. Please print
a copy before pressing the "Submit" button. Procede to
Secure Online Application
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