Certification Form for Congregational Study/Action Issue (CSAI) Proposal

This completed form must accompany any CSAI proposal.

Deadline: October 1, 2007, by 5 p.m. (or postmarked by Sept. 25, 2007)

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Proposed Congregational Study/Action Issue
Title of the CSAI:
Paste your one-page narrative CSAI into the following box, or attach by email to socialwitness @ uua.org.

Submitting Organization Information
One Congregational Study/Action Issue proposal may be submitted by:
a	congregation,
or a	district,
or a	sponsored organization (YRUU and C*UUYAN)?
Name of Organization:
Address:

City:
State/Province:
Postal/Zip Code:
Certifying Officer or Minister (Including contact information indicates assent and is regarded as a "signature" from this individual.)
Name:
Email Address:
Daytime Phone Number:
Evening Phone Number:
Individual Completing Form
Your Name:
Address:

City:
State/Province:
Postal/Zip Code:
Daytime Phone Number:
Evening Phone Number:
Fax Number:
Email Address:
Position, if any:
Person available to speak as advocate for this CSAI at the 2008 General Assembly
Name:
Address:

City:
State/Province:
Postal/Zip Code:
Daytime Phone Number:
Evening Phone Number:
Fax Number:
Email Address:
Position, if any:

For more information contact socialjustice @ uua.org.

Last updated on Friday, April 18, 2008.

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