LIVING TRADITION COUNCIL: UU PROGRAM DATABASE

LIVING TRADITION COUNCIL:
UU PROGRAM DATABASE SUBMISSION
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This form is to be completed by Program Chairs, Ministers, or any other person who has knowledge of a speaker and would like to submit someone's name as a speaker in Florida. You can provide more information about yourself in the "additional comments" section below e.g. Minister of .... etc. This system is not set-up for self-referrals. Please have the appropriate individual (e.g. program chair, minister, social action chair, music director, etc.) submit your name and relevant information. Furthermore, you may wish to check for speakers in our online member database by using the speaker search engine prior to submitting a name to save yourself some time(YOU WILL NEED TO LOGIN FIRST--OR REGISTER AND RECEIVE AUTHORIZATION BEFORE USING THE SPEAKER SEARCH ENGINE): --------------------------------- SPEAKER SEARCH ENGINE


Thank you in advance for taking the time to complete this form for us. It is much appreciated.

Please complete the form below and click, Submit, at the bottom of the page.
(Required *---for required entries, you can place "NONE" or ""DNK"(i.e. DO NOT KNOW) in the blank, if appropriate) If you don't complete all the required entries you will have to come back and complete all the items again so make sure all the * items are completed BEFORE you click, Submit. For ease of use you can "tab" from one item to the next.

Your message will be forwarded via email to the appropriate contact on the District Staff. Thank you.

If you prefer, you can print the questionnaire using the pdf version and mail it to the address on the questionnaire. Select PDF version

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PERSON SUBMITTING FORM:   *   
Email of Person Submitting Form :*

Person submitting form's role in their UU church/fellowship/society:
Please Check all that apply:
Program Chair
Music Director
Social Action Chair
Minister
DRE
Other

Name of SPEAKER/PRESENTER: *
Address :....*
City, State: .*
Zip Code: ..*.
Email:.    ..  * 
Phone: .......*.


CATEGORY:
Please Check all that apply:
Speaker
Performance Artist
Musician ---Instrument played
South and Central Florida
Northeast Florida
West Coast

Topic/s of Talk or Presentation(all that apply):
Theology
Literature
Spirituality
Self-Awareness/Growth
Eastern Religions
Relationships
Middle Eastern Religions
Social Issues
Environmental Issues
Other..list below

 

Relevant Comments on background and focus of interest/area of expertise of speaker/presenter?

 

Special Abilities(if any)

 

Special Needs(if any)

 

Name of reference person in your congregation who could answer questions about the speaker/presenter.. * 

Phone number of reference person: ...*
email of reference person: *


May we make the information you are providing available to others in our online Member database? or, if you wish, let us know, in the additional comments, what information would be permissible to make available online (e.g. name, email, reference, city, talks, etc)
YES
NO
NOT SURE - - Check with speaker

Additional Comments