UU Church of Bloomington ------- Connect with Us!
Welcome to the U.U. Church of Bloomington!
We want to know what part you want to play in our church community.

The Connections Coordinator will connect you via email with all the groups and activities that you indicate on this form.
If you have any questions about this form or getting involved at the church, please email or call the Connections Coordinator, Ann LeDuc, at connect@uubloomington.org or (812)332-3695 ext 203.

Thank you and welcome to the UU Church of Bloomington!
Name: *
Preferred Pronouns
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I would like a permenant name tag created for me.
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Email address: *
Preferred way to receive information about upcoming church events and opportunities for involvement
Would you like to be subscribed to our newsletter via email? The Prologue newsletter is emailed on the first and third Tuesday of each month. It's the main way we communicate our activities.
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I would like information about how to become a member of the church.
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Date of Birth:
Phone numbers:
Occupation, or past occupation (if applicable)
Availability for activities
Do you speak any languages in addition to English? (if so, please list)
What types of activities do you enjoy?
Please check all that apply.
Activities and Groups: Please check the groups in which you would like to get involved. The chair person of each committee you indicate will be asked to contact you about getting involved.
Please indicate any social justice task forces in which you would like to get involved. The chair person of each task force you indicate will be asked to contact you about getting involved.
Descriptions of most social justice task forces are available here: http://www.uubloomington.org/social-justice/
Are there any obstacles for you that make involvement in church activities difficult? For example: physical or mental disabilities, work schedule, etc This information will be kept confidential.
Talents, Skills and Experiences
If you are already involved at the church, please list groups and/or activities in which you are involved.
What are your hobbies?
Please describe any community volunteering you have enjoyed in the past.
What skills or talents do you want to bring to the church? Please describe any talents, skills or knowledge that you want to share with our church community.
Examples: computer skills, musical abilities, research areas, past church knowledge
Do you have an interest in participating in church leadership? If so, in what way?
Are you interested in building on your leadership skills? If so, are there any specific areas you would like to improve, such as public speaking, planning, leading meetings, etc?
Tell us about any past leadership experience you have.
Anything else?
Is there anything else you would like to ask or say?
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