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CPE Application Procedure

An ACPE application form is required. An on-site interview at UPHS is usually required, though this is often waived for summer intern applicants, provided there has already been a screening interview with an ACPE Supervisor or approved interviewer. Special arrangements are made with foreign applicants. For questions concerning applications, contact Betty White, Clinical Pastoral Care Coordinator, at or call 215-615-0988.

Application Form:

  1. Download the Word document of the "Application for CPE through the University of Pennsylvania Health System" by clicking HERE.

  2. Use this document's form fields to complete the application and save it to your computer. (If you have technical difficulty using the form fields, see the note below.)

  3. Email the completed application, along with essays and other materials stipulated in the application's Instruction section, to the Clinical Pastoral Care Coordinator, Betty White, at

  4. Applicants must personally contact references and ask them to complete the ONLINE REFERENCE FORM.

NOTE: If you have technical difficulty using the application's form fields, you may use an alternate (.doc) version of the document without form fields, and type in the required information as you would a regular Word document. If you have further difficulty or questions, contact the Clinical Pastoral Care Coordinator at or 215-615-0988.