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To enroll, a student must complete an ACPE application form and interview with a CPE supervisor or a designated person familiar with the program.

There is no application fee.

Please complete the attached application and letter of reference.

Application Form

The Application Form and materials can be found on the ACPE website.

Letter of Reference

Instructions for submitting a CPE Application Form via fax

  • Applications will not be considered complete until the full application (CPE Application Form and all essays as described on that form) are received.
  • Fax your completed paperwork to: 203-384-4630.

Emailing Your Form 

Applicants who can save their completed paperwork as a PDF may email your completed forms to [email protected].

Mailing Your Form

Mail the application and letter of reference to:

Fr. Adrian Budica 
Spiritual Care & Education Department 
Bridgeport Hospital 
267 Grant Street 
P.O. Box 5000 
Bridgeport, CT 06610

You will be contacted by a staff member from the Spiritual Care Department within three business days.