Clinical Pastoral Education Forms & Fees

Please Submit Your Application By:


For More Information Please Contact:

Rev. Silvia Misina, M.Div., BCC – Program Director
Lutheran Services New York Alliance
Clinical Pastoral Education (CPE)
475 Riverside Dr. #1244
New York, NY 10115
Phone: (646) 413-5443
Fax: (888) 627-0933

Forms & Fees

Application Form (PDF)
Evaluation Form (PDF)
Consent Form (PDF)

Program Fees

Application Fee: $0

$3,200 – When you secure a clinical site placement of your choice.

$800 – When you are placed in one of our clinical sites (see our website) in Metro New York area.

50% of tuition – A non refundable down payment is required upon acceptance to hold place in program.

Payment Options:
Checks or Money Orders – payable to Lutheran Services NY Alliance.

Online Payment with a Credit Card (click here).