• Home
  • About Us
  • Traci D. Blackmon’s Speaking Engagement Information and Request Form

Traci D. Blackmon’s Speaking Engagement Information and Request Form

Thank you for your interest in scheduling Rev. Traci D. Blackmon, Associate General Minister of Justice and Local Church Ministries of the United Church of Christ, to speak at your upcoming event. The more information you supply in the form, the better we will be able to respond efficiently to your request. We will then notify you of her availability as soon as possible.

If you have any questions or concerns, contact Denise Pittman at pittmand@ucc.org or at 216-736-3705.

Travel and Accommodations Information:
  • All organizations: Rev. Blackmon’s preferred hotel brands are Marriott and Hilton. Her preferred airlines are Southwest, United, American, and Delta. Rev. Blackmon reserves the right to approve all travel and accommodation arrangements prior to purchase and finalization. Groups will work directly with Denise Pittman for all logistical matters pertaining to Rev. Blackmon’s travel and housing.
  • United Church of Christ Conferences and Congregations: Travel to and from the event location and other fees, as stipulated in denominational policy, are covered by the National Office. Ground transportation, hotel lodging, and meals are the responsibility of the host organization.
  • Non-UCC groups: All travel expenses (airline, ground transportation, hotel lodging, and meals) are the responsibility of the host organization.

Speaking Engagement Request Form - Rev. Traci D. Blackmon

Hidden

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.

Event Contact Person's Information

Name:(Required)

Organization/Group Hosting Event

Please indicate appropriate organization/group category:(Required)

Event Information

Address of Event:(Required)
Proposed role for which you are requesting Rev. Blackmon:(Required)
Do you anticipate audience Q&A?(Required)
Will the presentation be recorded and/or webcast?(Required)
Will copies of the presentation be sold in any form?(Required)
Please include any informal requests that you may have (ex. meal with board members, etc).

Miscellaneous Information

Should Rev. Traci Blackmon’s schedule not allow for her to accept the group’s request, are you open to the idea of Rev. Blackmon extending this invitation to another member of the United Church of Christ’s national staff?(Required)