"*" indicates required fields NameThis field is for validation purposes and should be left unchanged.Name* First Last Email* PhoneHome congregation or institution (name and city)*Please list all Continuing Education opportunities below. Provide title, number of CEU's obtained, and a brief description of the training.Total CEUs (1 Continuing Education Unit is equal to 50 minutes of instruction time)* 1 2 3 4 5+ CEU #1*CEU #2CEU #3CEU #4CEU #5Additional CEUsCAPTCHA
