Application 2015

Disseminaton Application Form

Preliminary Application due April 1, 2015

Michael's Dream Team wants YOU!

to fill out this REQUEST FOR DISSEMINATION PLANS FOR GRASSROOTS URANTIA OUTREACH

Your Dream Team needs to include 3 people:
Team Leader #1
Name:
A value is required.
Email:
A value is required.Invalid format.
Phone:
A value is required.
Address:
A value is required.
City:
A value is required.
State:
A value is required.
Zipcode:
A value is required.
Team Leader #2
Name:
A value is required.
Email:
A value is required.Invalid format.
Phone:
A value is required.
Address:
A value is required.
City:
A value is required.
State:
A value is required.
Zipcode:
A value is required.
Team Leader #3
Name:
A value is required.
Email:
A value is required.Invalid format.
Phone:
A value is required.
Address:
A value is required.
City:
A value is required.
State:
A value is required.
Zipcode:
A value is required.
Project/Program - Name/Theme:
A value is required.
Outline Proposal:
A value is required.
Explain key ideas:
A value is required.
Give a potential timeline and sequence:
A value is required.
Financial & logistical considerations:
A value is required.
Tell us why you think your ideas have merit (your sales pitch):
A value is required.
How and what can you provide to help make your proposal come to reality?
A value is required.
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Thank you for taking the time to give us your ideas. Let us know if you need help in filling out the form or have other questions. Our goal is that each person presents a great plan for review and consideration by the Membership Committee.