CONTINUING EDUCATION REPORTING FORM
Western Pennsylvania District of the Christian & Missionary Alliance
Please complete this form and return it to the District Office .
NAME OF EVENT:______________________________________________________
EVENT
SPONSOR:____________________________________________
DATE OF
EVENT:_____________________________________________
NUMBER OF HOURS: ________
NAME:______________________________________________________
(Please Print)
SIGNATURE:________________________________________________
For Office Use Only:
Approved By: __________________________________
Hours Credited: ____________
Each ordained/consecrated official worker is required
to complete 24 contact hours per calendar year. Hours may be accumulated
in one-half hour increments only.
Return to:
Continuing Ed
The W PA District Office of the C&MA
341 Chestnut St.
Punxsutawney, PA 15767
|