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Saturday, July 05, 2008 - 6:40:52 PM CST

Course Credit Request Form - 725 (Rev. 6/00)

To receive course credit, complete the information.
Click "Submit Form" to email this credit request to the Christian Growth Study Plan office.

Participant Information
Social Security No. (USA Only - Not Required):
Personal CGSP No.* (Not Required):
Date of Birth (Month/Day/Year):
Name (First, Middle, Last):
Home Phone (Include Area Code):
Address (Street, Route, or P.O. Box):
City, State, or Province:
Zip/Postal Code:
Email Address:
*New participants are requested but not required to give SS# and date of birth. Existing participants, please give CGSP# when using SS# for the first time. Thereafter, only one ID# is required.

Church Information
Church Name:
Address (Street, Route, or P.O. Box):
City, State, or Province:
Zip/Postal Code:

Change Request Only
Former Name:
Former Address (Street, Route, or P.O. Box):
City, State, or Province:
Zip/Postal Code:
Former Church (Street, Route, or P.O. Box):
Zip/Postal Code:

Course Information
Course Code (Include LS or CG):
Course or Resource Title (Not Required):
The course code can be found in the Diploma Plans.

If the course code begins with "LS (Leadership and Skill)," please select one of the following as appropriate to the ministry area you want to apply this credit. For code "CG (Christian Growth)," you are automatically enrolled in a subject area diploma plan.
Comments or Questions? Email cgspnet@lifeway.com
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