APPLICATION FORM for 400 Hour Programs
Clinical Pastoral Education Centre | Director: Rev Morris Sing Key
Email address *
Title *
Your answer
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
Address *
Your answer
Suburb/Town *
Your answer
Postcode *
Your answer
Phone number *
Write N/A if no phone number
Your answer
Mobile number *
Write N/A if no mobile number
Your answer
Religion *
Your answer
What date of the program you are applying to do? *
Please indicate which program you are applying to do
Non Award Unit *
SCD Award Unit Undergraduate *
Master of Arts (leading to a specialization in Chaplaincy) *
Additional Requirements to Email to
1. Please include a copy of your resume detailing chronologically your educational background and work history.

2. Provide an account of your life, including important events, people who have been significant to you and the impact these events and relationships have had on your emotional and spiritual development. Describe your learning style.

3. Provide an account of an incident in which you were called to help someone, including the nature of the request, your assessment of the other’s need, what you did, and a summary evaluation. If you have had previous CPE, include this information in verbatim form.

4. Provide evidence that you have completed an Introductory CPE Unit or its equivalent

5. What are your goals? Include how this learning experience will be used to meet your goals for doing pastoral/spiritual care?

6. Please provide referees from the following; Priest/Minister/Leader of your Faith group/Community, include their names(s) and phone number(s).

7. Anything further you would like to add?

If you have previously completed a unit of CPE, please include a copy of your End of Unit Evaluation and your Supervisor’s Evaluation or Supervisory Statement.

Email these requirements to with the email subject: '400 Hour Programs Application'

Upon receipt of your completed application we will invite you to attend an interview. Thank You
If you have additional questions, you can contact me.

Mobile: 0432062271
Address: Rev Morris Sing Key c/o Chaplain’s Department
PO Box 533 Wentworthville NSW 2145

A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms