JTS Clinical Pastoral Education Application

JTS Clinical Pastoral Education Application
First Name*
Last Name*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Desired Program Unit*
Class Section Preference*

Tuesdays, 12:00pm-4:00pm EST, OnlineWednesdays, 10:00am-2:30pm EST, In-Person at JTSWednesdays, 4:00pm-8:00pm EST, Online
Site Placement Preference

JTS Partner Sites in NYCExternal (you will need to identify your own site)Undecided
Please indicate if you have a specific site in mind for your placement. If applicable, provide the name of a contact person from the administration, the site address and contact details, along with information regarding the preceptor associated with the site:
Please complete, sign, and submit the JTS CPE Application Face Sheet linked here.
CPE Application FACE Sheet: Please only upload the completed Face Sheet. You will submit your application essays on the following page.*

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Essays
1. Reasonably full account of your life: Include, for example, significant and important persons and events, especially as they have impacted, or continue to impact, your personal growth and development. Describe your family of origin, current family relationships, and important and supportive social relationships. Maximum 2000 words.*

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2. Description of your spiritual growth and development. Include, for example, the faith heritage into which you were born and describe and explain any subsequent, personal conversions, your call to spiritual care and religious or spiritual leadership, religious or spiritual experiences, and significant persons and events that have impacted, or continue to impact, your spiritual growth and development. 2000 words. Maximum 2000 words.*

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3. Description of your work (vocational) history. Include a chronological list of jobs/positions/dates of employment and a brief statement about your current employment and work relationships.*

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4. An account of a “caring incident” in which you were the person who provided the care. Include the nature and extent of the request, your assessment of the issue(s), problem(s), situation(s). Describe how you came to be involved and what you did. Give a brief, evaluative commentary on what you did and how you believe you were able to help. If you have had prior and recent CPE, please attach a copy of a recent verbatim as your 'caring incident' and add to the verbatim your own notes on how and what you learned from sharing this verbatim with your CPE educator and/or peers. If you have had CPE, but it was more than two years ago, include a recent account of a caring incident, written up in a verbatim format. If possible, include feedback from current spiritual care colleagues and/or administrative supervisor. 1000 words or prior verbatim. Maximum 1000 words.*

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5. Your impressions of Clinical Pastoral Education. Indicate, for example, what you believe or imagine CPE to be. Indicate if CPE is being required of you. Indicate any learning goals or issues of which you are aware and would like to address in CPE. Finally, indicate how CPE may be able to help you meet needs generated by your spiritual care practice or call to leadership in a theological, spiritual, or values-based system. If you have had prior CPE, please indicate the most significant learning experience you had during CPE. State how you have continued to use the clinical method since your previous experience. Indicate strengths and weaknesses that you have as they relate to your spiritual care practice and your identity as a professional person. Indicate any personal and/or professional learning goals and issues that you have at this time and how you believe that CPE will help you to attain or address these learning goals and issues. Maximum 1000 words*

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6. If you are applying to the CPE @ Camp program, respond to this question: Why CPE @ Camp? Describe your experience at summer camps as a camper and/or staff member, including what roles you played. Write about what motivates you to want to provide spiritual care at camp and how you envision doing so.

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Prior CPE Evaluations

Please submit all previous CPE evaluations, including both your self-evaluations and your CPE Educator’s evaluations. This is required if you have prior CPE experience.
Evaluations Submission

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Please list all prior units of Clinical Pastoral Education you have taken, including the site and the supervisor

References listed on this page will automatically receive an email prompt to complete their reference submission, using the email addresses you provided, once your application has been completed and submitted.
Academic Reference
First Name*
Last Name*
Academic Reference Email*
example@example.com
Denominational Reference

Please note that this could be either a spiritual reference or a religious reference
First Name*
Last Name*
Denominational Reference Email*
example@example.com
Personal Reference
First Name*
Last Name*
Personal Reference Email*
example@example.com

Signature & Date

By writing my name below, I confirm that all of the information in this application is true
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JTS Clinical Pastoral Education Application

Essays

Prior CPE Evaluations

Academic Reference

Denominational Reference

Personal Reference

Signature & Date