MG On Line Course Registration and Certifications- Form
GM-Hoja de Registro para participar del Entrenamiento Básico
Legal Name/Nombre Legal
*
First Name/Primer Nombre
Middle Name/Inicial
Last Name/Apellido
Birth Date/Fecha de Nacimiento
*
Please select a month
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Day
Please select a year
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1920
Year
Sex/Sexo
Please Select
Male
Female
N/A
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Church Pastors Name Church/Iglesia
Nombre del Pastor de su iglesia
Iglesia
E-mail/Correo Electrónico
*
example@example.com
Mobile Number/Cellular
*
Format: (000) 000-0000.
Club Name/Nombre del Club
*
Course Selections/Cursos a seleccionar
Please Select
BST English
BST Spanish
CPR English
CPR Español
Federative Certification English
Federative Certification Spanish
Pastors Recertification-English
Pastors Recertification Spanish
Mentoring Certification-English
Mentoring Certification Spanish
Area Coordinators Certification-English
Area Coordinator Certification-Spanish
PLA-Certification-English
PIA-Certification-English
PLA-Certificación Español
PIA-Certificación Español
MG- Investiture Requirements English
MG- Investidura Requisitos-Español
Honores- Variedad de requisitos de Investidura
Honors-Required for MG Investiture
African American Honor English
African American Honor Spanish
You Tube Videos/Video en You Tube
Request Date/Fecha de Registro
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date/Fecha
By Signing here I agree to receive the YouTube link and follow the instructions given to complete my certification. I agree to locate all the information in a portfolio for further evaluation for my Investiture/Recertification or Certification. Firmando en este renglón estoy de acuerdo en recibir la conexión en youtube y las intrucciones para completar la certificación que marqué. Estoy de acuerdo en que debo poner toda la información en una carpeta para evaluación para la investidura/Recertificación o Certificación correspondiente.
*
Please verify that you are human/Verificar que eres humano
*
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