Thank you for registering for this program.

The following is the basic information needed to register you for the program. After registering, you will receive an email with more details about accessing the program and payment.

If you want to register a group rather than individually, please contact Linda at lbuck@csjorange.org. You do not need to fill this form out for each person.

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* 1. I am attending the entire program (all 6 modules).

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* 2. I am attending the following sections of the program. Check all that apply.

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* 3. What is your first name?

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* 4. What is your last name?

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* 5. What is your email address?

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* 6. Name of Congregation

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* 7. Country of Origin

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* 8. Country where you currently reside

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* 9. Languages Spoken (conversational and/or fluent)

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* 10. My role (to help us place you into an integration group) is:

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* 11. I cannot attend the live events and will watch the recordings on my own time. This may be due to time zone differences, scheduling conflicts, or some other issue.

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* 12. I prefer to be placed in a group that speaks the following language:

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* 13. Anything else that we need to know, or questions you may have?

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