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Your request Mail/email this form to persons listed below. Include fee to national office. No fee for theory papers. Certification Staff ACPE National Office One West Court Square Suite 325 Decatur GA 30030 Mary Stewart Hall ACPE National Certification Chair Methodist Health System- Pastoral Care 3500 West Wheatland Road Dallas TX 75265-5999. Inactive to Active Status Date Supervisory Candidate/Associate Supervisor Status expires Your ACPE Region Name of your supervisor if applicable CPE...
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i print name am is a form that requires individuals to provide their name in printed format.
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