Online Application to Serve as a Delegate at the Unitarian Universalist Association General Assembly

June 21 – 25, 2023

At Saltwater Unitarian Universalist Church
We Practice Love, Foster Connection, Nurture Spiritual Growth, Act for Justice

Online applications will be sent directly to Karin Leisy, Board Vice President, at karinleisy@gmail.com for Board review. All submissions are due by April 1, 2023. For a printable copy click here. You may contact the Office Administrator for additional assistance.

Name(required)

Pronouns

Email(required)

Phone Number(required)

Are you a member of Saltwater Unitarian Universalist Church?

Have you been a delegate to General Assembly before?

If so, how many times?

Do you commit to participating in the business meetings and the mini-assembly? (About 3 hours each day of General Assembly.) Yes / No

At Saltwater Church, we held Listening Sessions on Article II. Did you attend one? Yes / No

Why do you want to be a delegate to General Assembly?

How will you represent the mission of Saltwater Church at General Assembly? (Our mission is stated at the beginning of this form.)

General Assembly is in Pittsburgh, PA this year. There is no charge for certified delegates to attend the business meetings only (a donation is requested, not required, to support the cost of the infrastructure.)

If you wish to attend the workshops, worship and networking events, online registration is $250 through February; $300 after that. We have limited funds available to provide partial support for the cost of full virtual registration for delegates.

Are you requesting a partial scholarship for full virtual registration? Yes / No

For more and updated information on General Assembly, please see the UUA website: www.uua.org/ga.