NTUUC Registration Assistance Application

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Captcha ^✻ What is 4 + 6?

Name of Event ^✻

Event Date ^✻

Month

Day

Year

Amount Requested ^✻

Full Name ^✻

Address ^✻

Additional Address Line

City ^✻

State ^✻

ZipCode ^✻

Primary Telephone Number ^✻

Alternate Phone Number

eMail Address

Best way to contact you: ^✻

Primary Phone

Alternative Phone

Congregation or Group ^✻

Your position in the congregation or group:

Your Age Group ^✻

Please specify you age group

If this assistance is granted, will your congregation be paying the rest of the fee? ^✻

Yes

Our preference is to send the check directly to the event registrar; please provide address if appropriate.

If this assistance is NOT granted, will you be able to attend? ^✻

Yes

Unsure

Why are you applying for this assistance? ^✻

Include reasons for attending this event, financial situation, and how you intend to use the training in your congregation, NTUUC or UU group. Applications are reviewed with an anti-racist and anti-oppressive lens, with an emphasis on supporting new leaders and opening up new opportunities for congregations.