'Universal Connection' Course - Entry Application
Yes, I would like to be considered for attending the free, 4-week course, Universal Connection, led by the Rev. Dr. Thandeka.
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Email *
Full Name *
Preferred Name
Ethnicity/Racial Identity
Gender Identity
Preferred Pronouns *
E.g., She/her/hers; he/him/his; they/them/theirs; etc.
Country of Residence *
ZIP / Postal Code (or City and Region, if outside of the U.S. and Canada) *
Why are you interested in attending this course? *
Max. length: 300 words
A copy of your responses will be emailed to the address you provided.
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