Heal the Sick Continuing Education Webinar Form Landing

HTS Registration Form for April 30th, 2019 Webinar

Please complete the form below. The fields with a star (*) are required and must be filled in. Click submit when you are done. After you submit this form, the webinar access information and link will be displayed on your screen. Please cut and paste this information into your calendar. I will also send out a reminder as the date gets close. Thank you!

Title*
(Mr., Mrs, Ms., Dr., Rev., Chaplain, etc)
Name*
First Last
Primary Email*
Primary Phone*
Alternate Phone
Faith Background/Denomination (United Methodist, Catholic, Baptist, etc.)*
Faith Community/Organization Name (include city and state)*
If you are a member of a health ministry or faith community network (local, state, regional, national), please state your network's name.
How did you hear about Wesley's Continuing Education Webinars?*
- Wesley/Heal the Sick
- Internet Search
- Health Ministry Association
- Religious Denomination
- Community Partner
- Other
If you are a graduate of Wesley's Health Minister Certificate, when did you graduate? (ex. Online Summer 2017)
Webinar Pricing Options*
- 0.5 CEUs $50.00
- Free
If you would like CEUs (Continuing Education Credits), there is a fee of $50. By selecting the CEU option, a payment link will be sent to you so you can safely and securely pay via PayPal. After payment is received, attendance and learning requirements of the webinar are completed, a CEU certificate will be e-mailed to you . If you like to attend the webinar and not receive CEUs, please chose the free option.

For more information, contact the Institute for Community Engagement at Wesley Downtown at (202)706-6843 or tpruski@wesleyseminary.edu.