Social Action & Peace Training-AFSC 1/18-1/19/2013

Thanks for registering to attend the AFSC Social Acton and Peace Organizing Training!
We are excited to work with KC area youth who want to make a positive change in our world and community.

The training will take place:
* Friday evening, January 18, 6:00-9:00pm (introductions, videos, discussion…)
* Saturday, January 19, 9:00am to 5:30pm (training and discussion)
* at the AFSC, 4405 Gillham Rd., KCMO.

For more info: 816 9315256

Please provide the requested information and answer these questions.

We will look forward to working with you.

1. Please provide:

Please provide: Name:
Address:
City/Town:
State:
ZIP:
School & grade or age
Email Address:
Phone Number:

2. Why do you want to attend this training? (<150 words)

Why do you want to attend this training? (<150 words)

3. Have you participated in any social change or service activities? If yes , please briefly describe them (<150 words).

Have you participated in any social change or service activities? If yes , please briefly describe them (<150 words).

4. Please provide the names of two references who could speak about your interest and commitment to peace and justice. Include how you know them (e.g. teacher, clergy, friend, mother, cousin...) and a phone number at which they can be reached.

Please provide the names of two references who could speak about your interest and commitment to peace and justice. Include how you know them (e.g. teacher, clergy, friend, mother, cousin...) and a phone number at which they can be reached. Reference #1:
Reference #2