Attention: Please do not use nicknames. If you are a student of SLBC, then please use only your legal name, as submitted on your Application form, on all forms submitted to SLBC.

Pastoral Practicum Assignments Verification

Please fill out the following information and click the submit button.

"*" indicates mandatory fields.

Submit separate forms for each assignment.

You must use proper letter-case for all submissions to SLBC.
If you fail to do so, then the form will be disallowed.

By submitting this form you are verifying that the infomation on it is accurate.
In addition you are verifying that you understand and that you agree that any
falsification of information on the form will be grounds for dismissal from
the college and loss of all credits accrued and that your file will be
marked "Expelled for cheating."

*Full Name:
*Email:
*Verify Email:
*Pastoral Practicum Assignment: Other:  
Number Performed (If applicable.)  
*Give a short critique of your performance if required, otherwise enter None:

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*Original or Amended form:
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