NRCAT DVD project - Ending US-sponsored Torture Forever Survey

Thank you for letting us know that your congregation plans to host a screening of the video "Ending U.S.-sponsored Torture Forever."

Please take a few minutes to fill out this form to help us keep track of and support congregations across the country who are participating in this project.

If you have any technical problems in completing this form, please contact John Humphries, NRCAT's Director for Program Coordination, at jhumphries@nrcat.org or 860-216-7972.

1.Please tell us who you are and which congregation will be hosting the screening:(Required.)

Prefix:

First Name:

Last Name:

Your Phone #:

Your E-mail:

Congregation:

Faith group/denomination:

Congregation's City:

Congregation's State (use abbrev, e.g. CT or TX):

Congregation's Zip Code:

2.Has this congregation participated in other NRCAT projects?

Yes

Unsure

If "Yes", please identify one or two of the activities:

3.Will you be facilitating the discussion?

Yes

Unsure

4.Have you already scheduled the screening?

Yes

If "Yes", please indicate the date:

5.Have you already secured a copy of the video?
(If not, you can order a DVD for $5 from www.nrcat.org/store.)

Yes

6.Do you have other questions/concerns about preparing for your screening? What other support would be helpful?

7.The best way for us to engage new faith communities in this work is through personal outreach. (You'll find some tips for doing this outreach on the project information page - www.nrcat.org/300.)

Are you planning to reach out to another congregation in your town, region or faith group and encourage them to show the video?

Yes

If "Yes", please tell us which congregation(s) (name and city) you are thinking of:

Thank you again for your participation in this project to promote dialogue among people of faith about the moral issues underlying U.S.-sponsored torture.

If you haven't yet done so, please download a version of the Discussion Guide at: www.nrcat.org/DVDguide.

If you have any questions or concerns, please contact John Humphries at jhumphries@nrcat.org or 860-216-7972.

National Religious Campaign Against Torture
110 Maryland Ave. NE, Suite 502
Washington, DC 20002
202-547-1920
www.TortureIsaMoralIssue.org

NRCAT DVD project - Ending US-sponsored Torture Forever

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