Materials consent 2026

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The document is a consent form for Clinical Pastoral Education (CPE) students, requiring their review and signature before admission to an ACPE accredited program and at the start of each unit. It informs students that their clinical materials and observation media may be used for certification processes, peer reviews, and accreditation compliance, with personal information redacted. The signed agreement will be kept on file indefinitely, and students can revoke consent in writing, which would affect their participation in the program.

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Click ‘Get Form’ to open the materials consent form in the editor.
Begin by entering your name in the designated field, ensuring it matches your official documents for accuracy.
Review the consent statement carefully. This section outlines how your clinical materials will be used and emphasizes that identifying information will be redacted.
Sign the form electronically in the signature field provided. This grants your consent for the use of your materials as described.
Fill in the date of signing to document when you provided your consent.
Lastly, indicate the start and end dates of your CPE unit in the specified fields to complete the form.

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