Course Request

Would you like a course taught in your area or at your conference? Fill out this course request form to get started.

Name of Circuit, Conference, District, or Group: *

Please enter the name of your circuit, conference, district, or group.

District: *

Select your WELS District from the list.

Your Name: *

Your Email Address: *

Your Phone Number: *

Requested Date and Time: *

Please tell us the date(s) and time(s) when you would like to schedule a presentation.

Location: *

Please tell us where you would like the presentation to take place. (E.g. name of congregation, school, conference meeting place, etc.)

Address: *

Please enter the full address (including ZIP) of the location where you would like the presentation to take place.

Presentation Type: *

Satellite Course

Pastors Institute

Allotted Time: *

Please enter the approximate number of agenda/class hours you have allotted for a presentation.

First Course Choice: *

Please enter the name of your first choice for a course presentation.

First Course Instructor: *

Enter the name of the instructor who teaches your first course choice.

Second Course Choice:

Please enter the name of your second choice for a course presentation.

Second Course Instructor:

Enter the name of the instructor who teaches your second course choice.

Third Course Choice:

Please enter the name of your third choice for a course presentation.

Third Course Instructor:

Enter the name of the instructor who teaches your third course choice.

Special Instructions and Requests: