Affinity and Activity Groups Information Survey
Mission: Grow Ethically & Spiritually, Serve Justly, Love Radically.
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First Unitarian Church of Des Moines (UCDSM) encourages and supports grassroots initiatives to create activities, including programs, groups, and events.  These things enhance our vibrant community.  To marshal our resources appropriately, encourage a diversity of programs, and meet the needs of the church and the wider community, the Membership Coordinator and Membership Council* would like to track the activities that are being offered or considered through First Unitarian. We ask that individuals who would like to start a new activity complete this form.  Doing so will help the Membership Council support your efforts and coordinate organizational details as necessary. Thank you for contributing to the enrichment of our community experience!  
* Please note: The Membership Coordinator and the Membership Council neither approves nor denies proposed groups/events. Should additional information be needed, you and/or the leader may be contacted.  
Your Name *
Your Email Address *
Your Phone Number *
Are you a member of First Unitarian Church of Des Moines: *
What is the name of your group/event? *
Leader/point of contact name: *
Leader/point of contact phone number: *
Leader/point of contact email address *
Title of Affinity Group/Program *
Activity Description *
Please read our Mission and Ends Statements 2016-2021. Thank you!  
First Unitarian Mission: Grow Ethically and Spiritually, Serve Justly, Love Radically

Ends Statements:
The people of First Unitarian Church, of all ages and backgrounds, connect in a transformative, authentic, liberal religious experience. We: Grow spiritually, emotionally, socially and ethically; explore and experience what it means to be human; cultivate compassion toward ourselves and others; foster personal connections to life, nature and/or the divine; seek, embrace and share experiences of wonder; develop our Unitarian Universalist identities.

The people of First Unitarian Church connect in community to support one another and honor the web of life. We: Ask for and receive loving presence from one another, especially in times of joy, sorrow and transition; respectfully connect across differences for understanding; intentionally invite and engage others to grow in community with us; generously share our time, talent and treasure; maintain a facility and grounds appropriate for our needs and aligned with our values.

The people of First Unitarian Church nurture justice in the world. We: Build authentic partnerships, responding to needs our partners articulate; show up with passion and enthusiasm to grow our values in the world; share our talent and resources to support groups with whom we share values; provide leadership and space for civil discourse; welcome and accept transformation that comes through authentic relationships within and beyond our church.
How will this group or event help UCDSM fulfill its mission and Ends Statements, and enhance our community? *
In order to promote inclusivity and acceptance, First Unitarian groups and events are open to all individuals, regardless of membership status. If you have plan to hold a "Members Only" group/event, please see below.
Who many participate in your group? Check all that apply.  
Column 1
Open to UCDSM Members, Friends, and Visitors
Open to anyone in the wider community
UCDSM Members Only
Older adults
Young Adults
Families
Youth
Children
Members Only groups/events: Please provide a rationale as to why your group or event is limited to only UCDSM Members.  
Please list the proposed date(s) and starting and ending times for your meetings/events. (Please check the Church Calendar on www.ucdsm.org before responding.) *
Affinity groups and events can be held online or in-person. In-person gatherings are subject to the requirements of the Levels of Opening set by the Lens of the Future Committee and the UCDSM Board of Trustees. Information about what is required at each level can be found at https://www.ucdsm.org/category/lens-of-the-future/.
Will you meet in person or online? *
In-person Meetings/Events: What is your room preference? (For a map of the building, please go to https://www.ucdsm.org/about/church-and-grounds/weddings/ and click "Building Map".)
First Choice
Second Choice
Third Choice
Fourth Choice
Auditorium
Mary Safford Room (back of auditorium)
Gathering Space
Griffin Hall
Stonewall Conference Room
Library
Room 103 - Large Activity Room
Room 105
Room 106 - Peace Conference Room
Room 107
Room 108
Room 111
Room 113
Room 114
Upper Parking Lot (South of building)
Lower Parking Lot (East of building)
North Lawn (Outside of Auditorium)
Patio
Labyrinth
Other location:
Will you need access to the kitchen and/or childcare? Check all that apply
Yes
No
Kitchen
Childcare
If you will be meeting outside of the church, where will your group meeting? (Example: Gray's Lake; Smokey Row Coffee House; Fleur Avenue Panera, etc.)
Is there any other information you would like to share with the Membership Council?
Thank you for completing providing this information!
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