home | email | site map


 

Church of God
General Conference

Box 100,000
Morrow, GA 30260

404-362-0052
800-347-4261
404-362-9307 (fax)

Continuing Education Units (CEU) Form


Personal Info:

Name: 

e-mail address: 

Program Name: 

Sponsoring Institution: 

Church or Hotel Name: 

City: 

State: 

Date of Program:

Hours of Participation:


Reasons for attending:

For professional education  
For personal renewal  
Because of the seminar topic  
Because of the seminar leader(s)  
Other

Essay:

State one idea or area covered that will strengthen you personally and/or professionally.

 


Copyright 2008 - Church of God General Conference - All Rights Reserved