Susan Frederick-Gray Speaker Request Form
Thank you for inviting Susan to your event! Please complete this form, and someone from the UUA will confirm we received the request.
What is your name?
What congregation/organization are you making this request on behalf of? Please include City & State.
Is your congregation an Honor Congregation?
What kind of event are you hosting? (check all that apply)
Please provide a brief description of your event with anticipated attendance.
What date(s) are you considering? If flexible, are there dates that are not in consideration?
Are you inviting other congregations, clergy or speakers?
If Susan is able to attend, would you be willing to host an gathering with your congregational leaders and those interested in learning more about the work of the UUA?
The UUA can provide support for publicizing this event. Is there a contact person at the congregation we should contact?
If Susan is unable to attend, would a written letter or video be useful?
Yes, a written letter
Yes, a video recording
Is there anything else we should know as we consider your request?
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of The Unitarian Universalist Association.
Terms of Service