Adult Spiritual Enrichment Class/Workshop Proposal Form
Unitarian Universalist Congregation of Frederick, 4880 Elmer Derr Road, Frederick, MD 21703
[Please fill in this online form completely and click on submit button below]

Provider Information:
First Name M.I Last Name
Street Address
City, State, Zip 
Phone# Cell phone#
Email Address

How do you want potential students and current students to contact you with questions?
Telephone
Email
Or both telephone and email?

Experience background relevant to class or workshop:

Proposed Course/Workshop Information:
Proposed Title
Preferred Starting Day and Date:

Meeting Information:

Day or Evening?  (evening programs are usually 7 – 8:30 PM)
  • Beginning and ending time
  • Number of sessions
  • Weekly or some other schedule?
  • Class size Minimum Maximum

Fee Information: (Select one)
I will contribute my time.
I request a fee. (Please talk to Carole Benson or Nancy Hutchins for policy on this.)

Materials fee for participants (e.g. for a book)

If Materials fee, please give details:
Brief Course Description:

:

Questions?