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Christian Educators
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For more information:

Martha Miller
(800) 728-7228, x5751
Send email

Or write to
100 Witherspoon Street
Louisville, KY 40202

Request for an information packet

Please send me an information packet for Certification/Enrollment of Christian Educators

You can either print out and fill out the following form and send it to the address below or you can type out your information and send it via the internet by clicking on the Submit button at the bottom of this page.

        

Date:

Name:

Address:

City:

State:

ZIP:

Email:

Phone:

          Is this your home or employment?     Home Employment          

Presbytery:

          Have you previously been Certified/Enrolled?     Yes No    

If Yes, please give approximate date.
           
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