THE EVANGELICAL ORDER OF CERTIFIED PASTORAL

COUNSELLORS OF AMERICA

3350 Fairview St. * Suite 210* Burlington* Ont.* L7N3L5* 905.639.0137* Fax: 905.333.8901* E-Mail: eocpc@ cogeco.ca

Dear Brother/Sister In Christ:

The submission of this application is definitely one of the most serious yet wonderful steps you will take in your life. We recommend that, you proceed prayerfully. Begin by asking for wisdom from our Lord who “upbraideth not” (James 1:15). This too is our prayer for you; that the perfect will of our Lord Jesus Christ be done in you.

The Candidate understands that acceptance into EOCPC constitutes adherence to a fellowship of believers dedicated to the common goal of equipping men and women to fulfill a Christ-centered counselling ministry. This position carries responsibility in its highest degree. Individual freedom and personal initiative are respected as a basic policy of this fellowship, but we consent to work together in oneness as a disciplined task force whose mandate is to see to it that the perfect will of God is done in the land.

In the practice of Jesus Christ, who choose from simple fishermen (Peter) to well-learned scholars (Paul) membership in our Association is open to anyone who will heed the call of Christ. If, however, you have need of training the Institute is equipped to provide adequate academic upgrading according to your previous education and experience. You will commit to a curriculum prepared for you personally, and administered by a competent mentor assigned by the Institute.

Membership Designations and Fees
(Please indicate your choice of membership in the appropriate [ ] below)

[ ] LAY PASTORAL COUNSELLOR (L.P.C.) $100.00

Qualifications: Recommendation by Pastor and three other references of the applicants' moral and ethical character and active standing in the ministry of Christ. You do not have to be a professional counsellor but should be an active volunteer in the counselling ministry.

[ ] CERTIFIED PASTORAL COUNSELLOR (C.P.C.) $175.00

Qualifications: Graduate of Bible College or University with a degree, and must be qualified in the scriptures as well as versed in the theories and therapies of psychotherapies and counselling.

[ ] ORDER OF PASTORAL COUNSELLOR (O.P.C.) $200.00

Qualifications: An ordained Christian Minister, Pastor, or Evangelist with a Masters Degree or 10 years experience. Three references pertaining to the Candidate's high moral and ethical character.

[ ] DIPLOMATE-CERTIFIED PSYCHOTHERAPIST COUNSELLOR (D-C.P.C.) $400.00

Qualifications: Holds a Doctorate in Christian Counselling, Psychology, Psychiatry, Ministry, Theology or Social Work from an acceptable and accredited Institution.

**Upon request a full information package will be forwarded regarding the academic requirements of every membership position**

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BOARD OF DIRECTORS

Dr. Stephen Hambly (Chairman);Rev. (Dr.) Chester SearlesChaplain;Rev. (Dr.) M.D. Charles; Dr. Pius Onile
Rev.(Dr.) Fran Sousa; Dr. Reta Walker; John Reid (Calgary Office)

APPLICATION FORM

Your Full Name: ______

Address: ______

City: ______Province: ______Postal Code: ______

Phone: ______Fax: ______Email: ______

Describe Your Health: ______

Age: ______Name of Spouse, If any: ______

Name(s) of Child(ren), If any: ______

EDUCATION

High School: ______Grade: ______

University, College or Bible School: ______

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State Diplomas or Degrees: ______

Other: ______

Please include or arrange to submit official transcripts (University, College or Bible School) Please also include Xerox copy of your Diploma or Degree.
Include a short account of your practical experience in counselling, and why you wish to become a Certified member of our Order. (If space is insufficient use attach an extra page)
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I the undersigned, do understand the commitment I am making by applying for membership as a certified member of the Evangelical Order of Certified Pastoral Counsellors of America, and herewith enclose the applicable fees. (Fee will be returned if application is not accepted)

Signature: ______Date: ______

Include the names and addresses of three references. (One should be your Pastor)
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