Facilitator Registration Form

Facilitator Name

Title (optional)First NameLast Name

Email *

example@example.com

Mobile Number (optional)

My congregation's name, city and state is:

Please choose only one program per form that you are personally facilitating. Complete a second form if you are facilitating a second program to ensure that you recieve the password promptly. If you are a congregational coordinator, please complete a separate form for each program you are hosting. Note: Second forms only require name and email to speed things along.

You will receive passwords, updates, and invitations to facilitator chats if your congregation is enrolled in the program you choose below to facilitate.

By completing this form, you are pledging to keep the password private and not share with participants or anyone else.

If your co-facilitator has not registered, please send them this facilitator registration link and invite them to register.

CHOOSE ONLY ONE PLEASE.

Love at the Center: UU Values and Covenants, 11 Session Program

yes

Sources-First year, 10-month program

yes

Deep Questions-10-month program

yes

Faithful Actions-10-month program

yes

Spiritual Practices-10-month program

yes

Sacred Arts-Seeker Series 10-month program

yes

Spiritual Ancestors-Seeker Series 10-month program

yes

UU Wellspring Reads: Sacred Earth. 6-Session Program

yes

UU Wellspring Reads: Crises of Life 6-Session Program

yes

UU Wellspring Reads: Creating Meaning 6-Session Program

yes

Youth or Emerging Adult: LOVE: YEA!

yes

Youth or Young Adult: Sources and Spiritual Practices

yes

Youth or Young Adult: Creating Meaning

yes

My Congregation

Full Congregation Name

Street Address Line 2

CityState / Province

Postal / Zip Code

Additional Questions or Comments (You will be emailed the password.)

UU Wellspring Facilitator Registration