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CPSP Life
Meeting Registration
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Name
*
First
Last
particular – member
Email
*
Zoom Meeting Date (All times 4 – 5 pm ET)
*
Wednesday, June 3, 2026
Wednesday, July 1, 2026
Wednesday, August 5, 2026
Are you a member of a CPSP Chapter?
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Yes
No
Chapter
*
What is your certification / designation within CPSP? (Check all that apply.)
*
CPE Trainee
Member – No Certifications
Clinically Trained Minister
Associate Clinical Chaplain / Pastoral Counselor
Clinical Chaplain / Pastoral Counselor
Pastoral Psychotherapist
Associate Hospice and Palliative Care Subspecialty
Hospice and Palliative Care Subspecialty
Substance Use and Addiction Subspecialty
Diplomate in Pastoral Supervision
Diplomate in Pastoral Psychotherapy
Is there a particular topic you would like discussion or consultation around?
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