Workshop on peacebuilding & conflict management

APPLICATION

Workshop on peacebuilding & conflict management

in Ukraine in November and December 2014

	Please send the completely filled-in application to [e-mail]
	For questions where you should choose one or several answers, please mark your answer(s) with an „x“ in the small box aside.

Surname:
Name:
Age:
Email:
Telephone:
Organisation:
Address:
Level of English:	Fluent	Advanced	Intermediate	Basics	Beginner
For which workshop are you applying? you can also apply for several workshops – but participate only in one	03-05.11.2014 in Mykolaiv	06-08.11.2014 in Mykolaiv	10-12.11.2014 in Kryvyi Rih	13-15.11.2014 in Dnipropetrovsk
08-10.12.2014 in Vinnytsya	11-13.12.2014 in Khmelnytsky	15-17.12.2014 in Ternopil	18-20.12.2014 in Lviv

	How did you find out about the Workshop
	Flyer
	Friends
	Colleagues/Work
	Homepage
	University
	Others:
	Are you involved in any students, social, political, environmental activities?
	Yes
	No
If yes, in which ones? Please specify…

	Have you ever participated in any workshop/seminar on the topic of conflict management (e.g. non-violent communication training)?
	Yes
	No
If yes, in which one? Please specify…
	Please explain briefly: What are the crucial conditions for a peaceful solution of violent conflicts, from your point of view?

	What are the determining factors concerning international conflicts from your point of view?

	What is your main motivation for participating in this workshop?

	Are you applying for travel reimbursement?
Please name the route, means of transport, amount of travel costs.

	Do you have any food allergies or restrictions?
	Do you need accommodation at the workshop location?
Participants from other cities may apply for accommodation for maximum 3 nights, starting on the day before the workshop. Please, name the city and dates for which you need accommodation. Rooms will be shared with other participants.
	Use this space for additional comments

Thank you very much for your application! We will get back to you soon!

Дата добавления: 2015-08-27