Peacebuilder Immersion Application Form 2019

Name *
Name
Address *
Address
Phone *
Phone
Complete if your attendance is affiliated with an organization.
Which peacebuilding practices are of most interest to you? *
Check all that apply.
Are you requesting financial assistance to cover the cost of the Immersion? * *
In alignment with non-violence and environmental sustainability, vegan food will be served throughout the training with vegetarian and gluten-free options as requested.