PLACE Assessment Request Form

Please complete form if you need a new PLACE Assessment Log-In code for the FIRST TIME ONLY

*First Name

*Last Name

*Email Address

*Phone Number

*Do you attend Pathway Church on a regular basis-on campus or online?:

YesNo

*Have you previously taken PLACE?:

I have taken PLACE and need my log-in informationI have never taken PLACE and am (18 years and over)I have never taken PLACE and am (6th - 12th grade)

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