Interest Form

Please note: If you indicate interest in participating, Faith in Action will follow up with an official registration link.

Section 1: Personal Contact Profile

1. First and Last Name:

2. Organization or Affiliation:

2. Role / Title:

3. Federation Name (if you are part of the network)

4. Email Address

5. Phone Number:

Section 2: Interest

6. Why are you interested in attending the gathering?

7. How does your work connect to this event, and are you leading or supporting this work?

8. What communities or constituencies do you represent or organize? List below:

9. What can you contribute to this space?

10. Are you available to attend on June 16th-19th?

Yes, I will participate fullNo, I am not availableI can participate part of the time