Permission for the Use of a Student’s Clinical Materials

Students must give written permission for the use of their clinical materials as well as recorded and/or live observation media pertinent to an ACPE Certified Educator Candidate’s (CEC) educator’s process toward certification as an ACPE Certified Educator or for an ACPE Certified Educator’s Peer Review Process by signing the Use of Clinical Materials Consent Form.

A student may revoke their authorization, in writing, to their ACPE Certified Educator, but doing so will require that they withdraw from the unit.

*Note: Only the Use of Clinical Materials Consent Form is acceptable for obtaining students’ written permission to use clinical materials. Students being accepted into a unit of CPE are to review and sign the Use of Clinical Materials Consent Form prior to formal admission to a Clinical Pastoral Education Program.

Accreditation and Research: The Use of Clinical Materials Consent Form also gives permission for a student’s clinical materials to be used as data in a center’s accreditation portfolio or for ACPE approved research studies without further notification to the student. All personal information in written documents will be redacted.