Application to Participate in the Conflict Transformation Institute

Please complete this form and click the "Submit Application" button.

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* 1. Personal Information

Name *

Company (if any)

Address *

Address 2

City/Town *

State/Province

ZIP/Postal Code *

Country

Email Address *

Phone Number *

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* 2. What is the best way to communicate with you?

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* 3. Times when we can reach you at your phone number

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* 4. How did you learn about the Conflict Transformation Institute?

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* 5. What led you to apply to participate in the Institute?

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* 6. What goals or objectives do you have for your participation in the Institute?
For example, what is it you would like to be able to do with what you learn and
practice there?

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* 7. What, if any, background or experience do you have with conflict transformation
or any of the core programs in the curriculum? Please be specific. (This is not
necessary, by any means, but it will be useful for us to know what experience our
participants already bring to the process.)