• Proposer 1:*
  First Last
• Proposer 1 Email:*

  A confirmation email will be sent to this address.

• Proposer 1 Preferred Phone:
• My address is correct in the Fellowship Directory:*
  • Yes
  • No

  Non-members please select "No"

• Proposer 1 Address*
  Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
• Proposer 2:
  First Last
• Proposer 2 Email:
• Proposer 2 Preferred Phone:
• My address is correct in the Fellowship Directory:

  Non-members please select "No"

  • Yes
  • No
• Proposer 2 Address*
  Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
• Title of Class or Activity:*
• Description:*

  In 150 words or less please explain the goals and objectives of your proposed class or activity, indicating how it aligns with or advances the UUF mission, goals or congregational vitality and support.
• How many people do you anticipate?*
• Is there a cap (maximum) to the number of people who can participate?*

  Enter 0 for no limit.
• This activity is open to:*
  • UUFSCC members only
  • The wider community
• Is there an age requirement?
  • Yes
• Participants must be at least (years old):*
• Is there a fee to participate?
  • Yes
• Fee amount:*
• Will scholarships be available?
  • Yes
• Class Facilitator/Leader

  if different from proposer

  First Last
• Facilitator Email:
• Facilitator Preferred Phone:
• Proposed Class/Activity Dates:*

  i.e. Fall 2020 or exact dates
• If you indicated a seasonal date range, i.e. Fall 2020, please include any conflicts you have within that time frame.
• What time frame do you prefer for you class or activity?*

  Check all that apply.

  • Weekday
  • Saturday
  • Sunday
  • Daytime
  • Evening
• Preferred Start Time:*
  : Hours

  Minutes

  AM PM AM/PM
• Preferred End Time:*
  : Hours

  Minutes

  AM PM AM/PM
• A/V Needs

  Do you intend showing a video or PowerPoint for this class?

  • Yes
• Will you be showing a DVD or using a laptop?
  • Yes
• Laptop Information:*
  • I wish to use the Fellowship's laptop
  • I will use my own MAC
  • I will use my own Windows laptop
• Do you need setup assistance?
  • Yes
• Is there a curriculum for your class or activity?
  • Yes
• What is the curriculum title?*
• This curriculum:*
  • is free.
  • needs to be purchased
• Curriculum cost?*
• Will you need copies made for materials for this class or activity?
  • Yes
• Please describe any other costs for this class or activity:
• Any additional information not covered above?

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