Certification Commission Policy and Procedure Manual

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APPENDIX 3 I COMMITTEE CONSULTATION REPORT Consultation may be requested from the regional certification committee on a number of issues related to the certification process or certification status. Reports from such consultations include (See Appendix 3-A ACPE Certification Commission Sample Report On Consultation): • Summary and evaluation of materials presented. • Summary and evaluation of consultation process. • Recommendations arising from consultation. 34
APPENDIX 4 Association For Clinical Pastoral Education, Inc. Disclosure Agreement for Information From Student Records * I understand that as a member of the ACPE. Certification process, I may have access to information from confidential student records. I will not retain copies of those records or information, nor will I disclose or use any information I might obtain from them in any process other than the one in which I am currently authorized to participate. __________________________________________________ _____________ Signature of ACPE member Date * Form is to be signed by anyone viewing or using student records in the context of a Certification review if student records will be viewed. 35
Page 1: Certification Commission Policy and
Page 4 and 5: CERTIFICATION COMMISSION POLICY AND
Page 6 and 7: completing the Regional Certificati
Page 8 and 9: Appendices APPENDIX 1 ACPE CERTIFIC
Page 10 and 11: APPENDIX 2-A ACPE CERTIFICATION COM
Page 12 and 13: APPENDIX 3-A CONSULTATION ON READIN
Page 14 and 15: APPENDIX 3-A cont’d CONSULTEE: Pa
Page 16 and 17: APPENDIX 3-B cont’d REGIONAL CERT
Page 18 and 19: APPENDIX 3 B cont’d APPLICANT: Pa
Page 20 and 21: APPENDIX 3-C cont’d CERTIFICATION
Page 22 and 23: APPENDIX 3-D The report of this mee
Page 24 and 25: APPENDIX 3 D cont’d APPLICANT: Pa
Page 26 and 27: APPENDIX 3 E REQUEST FOR ACPE SUPER
Page 28 and 29: APPENDIX 3-E cont’d APPLICANT: Pa
Page 30 and 31: APPENDIX 3-F APPEARANCE FOR REVIEW
Page 32 and 33: APPENDIX 3 F cont’d INTERVIEWEE:
Page 34 and 35: APPENDIX 3 G CONSULTATION TO MAINTA
Page 38 and 39: APPENDIX 5 ACPE ECCLESIASTICAL ENDO
Page 40 and 41: ASSOCIATION FOR CLINICAL PASTORAL E
Page 42 and 43: Declaration Procedures for Candidat
Page 44 and 45: 6. How are persons prepared and tra
Page 46 and 47: ________ 5. Is this group listed in
Page 48 and 49: (Practical application: Is the theo
Page 50 and 51: Appendix 11 Instructions from the C
Page 52 and 53: e, and should not become, a continu

Certification Commission Policy and Procedure Manual

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