APT CCPE Application Digital Face Sheet
Which group are you applying for?
*
Fall 2024
Spring 2025
Name
*
First Name
Last Name
Are you an US Citizen?
*
Yes
No
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Alternate Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
Fax Number ( if you have one )
Please enter a valid fax number.
Permanent Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Denomination/Faith Group Affiliation
*
Enter your denomination/faith group here.
CME Annual Conference
Presiding Elder
If not CME, list the name of your judicatory and denominational official to whom you report:
Local Church
*
Local Church Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Ministry Position
Date Appointed or Assigned
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Month
-
Day
Year
Date
College Degree and Date Completed
Seminary Degree and Date Completed
Grad School Degree and Date Completed
Any Prior CPE Dates, Center and Supervisor
References
Denominational Reference (name/title):
*
Denominational Reference's Phone Number
*
Please enter a valid phone number.
Denominational Reference's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Denominational Reference's Email
*
example@example.com
REQUIRED: Attach a letter from your Presiding Bishop (or Supervising Authority if you are not Methodist)
*
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Personal Reference (name/relationship):
*
Personal Reference's Phone Number
*
Please enter a valid phone number.
Personal Reference's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Personal Reference's Email
*
example@example.com
Signed CCPE Packet & Narrative Responses File Upload
Please upload your Signed CCPE Application Packet
*
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Please upload your Narrative Responses Document
*
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Submit
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