Submitted by:		
Contact Person: 		
E-mail or telephone:		

Please provide a brief description of the context and background of the issue

Please explain how this issue is linked to the mandate of CUSJ (“to promote peace and security, environmental protection, education, and literacy in keeping with the spirit of Unitarian values”)

Please list any other documentation/ resources available with more information on this matter (ie. sample letters, research conducted, websites, etc.)

Please explain the timelines for advocacy on this issue. Are there any key dates or events that CUSJ should be aware of? (ie. days of action, anniversary, deadline, etc.)

Please identify other groups/ individuals (UU and non-UU) working on this issue. 

Please indicate which form of CUSJ support being requested (check all that apply)
•	Letter writing 
•	Monetary support 
•	Press release 
Other: ______________________________