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2007 PTI Applications

There are three ways to apply for PTI Training:

1. Fill out and submit the online application below.

2. Download and print an application using this link:

PTI Application Form

Note: The PTI Application Form is in Adobe Acrobat Reader format.
If you do not have a copy of the Acrobat Reader, click this button to get a copy from Adobe:

3. Request an application be sent to you by mail.
Use this link to use our online information/application request form.

Name
Male Identified:  Female Identified:  Gender-Queer: 
Age Birthdate:
Current Address
City  State:  Zip:
Phone   Fax:
E-mail Address
Permanent Address (if different from above)
City  State:   Zip:
Phone   Fax:
E-mail Address
For which training are you applying?
Name
Dates
Location
School (if applicable)  
Status in current semester:

OPTIONAL ** How would you describe your identity (culture, ethnicity, class, sexual orientation, etc.):
Religious affiliation, if any:
How did you hear about the program?

Are you being sponsored for this program by any organization or group? (If so, please identify.) Are you attending as a part of a youth or intergenerational team (required for youth allies over age 25)?

Please list a reference (can be academic, extracurricular, employment, etc.):
Name: Phone:

Address:

Emergency Contact:
Name: Phone:

What experience have you had organizing around peace and justice issues? Describe briefly.

What do you hope to gain from this program, and how do you plan to use the skills you gain?
Is there a particular skill or knowledge you’d like to share with the group in a workshop or social event? (Performance, music, travel stories, community stories, etc.)
Limited scholarship help is available. Will you need scholarship assistance?
If you would like to recommend a young person to participate in this or future PTI programs, please send a separate e-mail to pti@forusa.org that includes the person's name, phone number, and e-mail address, and we will invite them. Thank you!
 

    

 

The Fellowship of Reconciliation
P.O. Box 271, Nyack, NY 10960.(845) 358-4601.
Fax:(845) 358-4924. E-mail: for@forusa.org