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 NOT FOR GENERAL E-MAIL USE --
FOR COURSE REGISTRATIONS ONLY !

Register for Institute of Catechetics & Spirituality Courses Only:

Name (Last, First, Middle [Maiden]:
Home Address:
Home City:
State:
Zip:
ORE Profile #: or Social Security # :
Home Phone:
Work Phone:
Parish Church of Worship:
	(or)
School of Employment:
	Roman Catholic
Check One:	Protestant
Working Towards:	make a selection... BASIC LEVEL --- Parish/School Elementary Catechist --- Parish High School Catechist --- Adult Catechist --- Parish Evangelization Catechist --- Parish Youth Minister --- High School Campus Minister --- Catholic Administrator ADVANCED LEVEL --- Director of Religious Education --- Coordinator of Religious Educatio --- Parish Evangelization/Catechumenate Coordinator COLLEGE LEVEL --- Professional 1 - Undergraduate Theology Credits --- Professional 2 - Graduate Theology Credits
Course Title, Location, and Starting Date & Session: (Morning / Afternoon / Evening)