07 3040 6445 info@qicpe.com

Course Application

To apply for enrolment, please complete the following details:

  • CPE Unit: (to which this application relates)

  • Date Format: DD slash MM slash YYYY
  • Applicant's personal details

  • Date Format: MM slash DD slash YYYY
  • Church Affiliation

  • Accreditation for Ministry

  • Date Format: DD slash MM slash YYYY
  • Tertiary Education

  • Date Format: DD slash MM slash YYYY
  • Date Format: DD slash MM slash YYYY
  • Date Format: DD slash MM slash YYYY
  • Theological Education (if not cited above)

  • Date Format: DD slash MM slash YYYY
  • Other Training

  • Date Format: DD slash MM slash YYYY
  • CPE Units already undertaken:

  • Date Format: DD slash MM slash YYYY
  • Past Experience of Ministry

  • Present Ministry/Pastoral Work

  • Referees: (three required, one from present or recent employment)

  • Documents to accompany application form:

    1. Supervisor’s final evaluation report of last CPE unit undertaken (if applicable).
    2. A statement from your employer endorsing your application (if applicable).
    3. A recent photograph.
    4. A processing fee of $30 (non-refundable, payable to QICPE Inc).
      Direct Debit or at Westpac bank: QICPE Inc, BSB: 034 072 A/C: 186 321
      Cheque: Posted to PO Box 37, Everton Park Qld 4053
      Credit Card: $31.50 and paid via https://www.qicpe.com/event-registration/
  • Permission for restricted access for my contact details: