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CONTINUING EDUCATION REPORTING FORM

Western Pennsylvania District of the Christian & Missionary Alliance

Please complete this form and submit it to the District Office.

NAME OF EVENT:

SPONSOR OF EVENT:

DATE OF EVENT:

NUMBER OF HOURS:

NAME:

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.

 

 
The Western PA District of The C&MA,
341 Chestnut St., Punxsutawney, PA  15767
Phone:  814-938-6920     Fax:  814-938-7528    Email:  office@cmawpa.org