Human Rights Day 2012 Survey

Thank you for letting us know that you and your congregation plan to join NRCAT in celebrating Human Rights Day.

Please take a few minutes to fill out this form and help us keep track of and support congregations across the country who are organizing as part of this effort. If you have any questions or technical problems in completing the survey, please contact T.C. Morrow, NRCAT's Director for Finance & Operations, at tmorrow@nrcat.org or 202-547-1920.

1.Please tell us who you are and which congregation you are part of:(Required.)

Title (Ms, Mr, etc):

First Name:

Last Name:

Your Phone #:

Your E-mail:

Your Congregation:

Congregation's City:

Congregation's State:

We encourage you to speak with the leadership of your congregation ASAP about incorporating this observance into worship services.

2.We may be publishing a list of participating congregations on our website (Congregation Name, City and State).

May we include your congregation in a public listing of participating congregations?
(Required.)

Yes, NRCAT may list my congregation as participating.

No, please do not include my congregation in a public listing.

Maybe - but I need NRCAT to confirm with me before including my congregation.

Clarifying comments?

3.Please tell us what you are planning to do to mark Human Rights Day in your congregation or community (check all that apply):

Use NRCAT's bulletin insert with a prayer/litany and info on OPCAT.

Include other worship materials in services.

Gather signatures on petitions/postcards and send them to NRCAT's office.

Organize a screening/discussion of NRCAT's video "Preventing Torture Everywhere."

Encourage your congregation to endorse NRCAT's statement on OPCAT.

Other (please describe any other activities you are planning):

4.Do you have any additional comments or questions?

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