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Church of God
General Conference
P.O. Box 2950
McDonough, GA 30253

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.

 

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