-DISCIPLE REPORT FORM -
Fill out the following information and click 'Submit'.
*Full name of the disciple:
*Email of the disciple:
*Name of disciple's Church:
*Name of disciple's pastor:
*Disciple's pastor Email:
*Disciple's pastor has submitted permission form:
Yes No

*Your Full Name:
*Your Email address:
*Date disciple started program (click calendar graphic):
*Date of Lesson (click calendar graphic):
*Lesson Section (Intro, or 1, 2, 3, etc.):
*Grade ascribed:
*Time of Lesson in hours:

- ADDITIONAL WEEKLY INFORMATION -
(If there is no information enter "none" - do not include the quotation marks.)
*Is he/she growing spiritually?
Yes No
*What improvement have they shown?
*What are their danger areas?
*What encouragement do they need?
*Is there an area you should mention to their pastor?
Additional Comments - (If none, enter none.):
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