Soul-Winning II Registration of Students Being Taught
This form is to be filled out by the student of SLBC who is teaching the Soul-Winning II class to a student.

Fill out the following information and click 'Submit'.
* Indicates mandatory field.

*Full Name of the SLBC Student Teaching the Course:
*Student/Teacher Email:
*Verify Student/Teacher Email:
*Original or Amended form:
Original Amended
*Today's Date (click calendar icon):

You may register multiple students to whom you are going to teach the
Soul-Winning Practicum Course on this one form.

Enter name of one student in each field.

*Student Name:
*Student Name:
*Student Name:
*Student Name:

By submitting this form I am affirming that the information on it is
true and accurate to the best of my knowledge.  And I also am
affirming that I have met all SLBC requirements to teach
the Soul-Winning Practicum course to the students
who's names are listed on this form.

*Affirmation
Yes, I affirm.