APPLICATION FOR ADMISSION

Application for:                                    Year: _______

                          January       ____                                          July                ____

                            April             ____                                          October         ____

Name_________________________________________Date of Birth ______________

Present Mailing Address: __________________________________________________

                                          _________________________________________________

Phone: _______________ Marital Status _______________ Ages of Children ________

E-Mail:  ________________________________________________________________

Denominational Affiliation ___________________________ Association ____________

                                                Diocese, Presbytery, Synod

Present Position __________________________ Ordained _________ Date ________

                                                                                  Licensed _________ Date ________

                                    EDUCATION

                                                                                               Degree                 Date

College  _______________________________        _________________  ___________

Seminary ______________________________        _________________  ___________

Graduate Study _________________________        _________________  ___________

Other Significant Experience (Military, Missionary, etc.) __________________________

_____________________________________________________________________

Recent Positions Held:

            Place ______________________________________ Dates ________________

            Place ______________________________________ Dates ________________

References and addresses:

            Denominational ___________________________________________________

            Academics _______________________________________________________

            Other ___________________________________________________________

ATTACH TO APPLICATION:

1. A description of your life story, 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 and your current family relationships.

2. A description of the development of your religious life, including events and relationships that affected your faith and currently inform your belief systems.

3. Your resume.

4. 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.  (If you have had previous CPE, include this information in verbatim form.”

5. Your impression of clinical Pastoral Education and your educational goals, including how this training will be used to meet your goals for doing ministry.

Applications are accepted from prospective students on a first-come, first-served basis.  Please send applications to:

RMCET 

PO Box 630

Littleton, CO  80160-0630