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| Personal Information |
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Name (first/middle/last)
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Preferred name
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Previous or other names (if applicable)
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Current Address
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City/Town
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Province/State/Region
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Postal/Zip Code
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Country
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Home Phone
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Business Phone
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Cell Phone
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E-mail
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Permanent Address (if different from above)
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Name of Emergency Contact
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Relationship
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Telephone
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Emergency Email
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Your Date of Birth
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Place of Birth
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Gender
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Male
Female
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Marital Status
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| Citizenship |
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Citizenship
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If not Canadian, your status in Canada
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Permanent resident
Study permit
Applying for visa
No visa required
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| Education |
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Highest level attained:
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High School
B.A.
M.A.
Other (Specify)
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Please tell us of any disability pertinent to your learning or access
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| Optional Information |
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Religious affiliation
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Organization affiliation
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Name of organization
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Mailing address
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E-mail
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How did you hear about the Canadian School of Peacebuilding?
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| Registration Mode |
You may register either for training (lower tuition) or to earn university credit (regular tuition). If you are a graduate student, you may register for "Poets, Prophets and Music of Social Justice", "Mennonite Approaches to Peace and Justice" and "Thriving in a Firestorm: Congregational Peacebuilding" at the graduate level.
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Undergraduate Note: If you have not been admitted to CMU previously as a regular undergraduate student, you may be admitted on the basis of this application as a Continuing Education student. To be eligible for admission with this status, you must have completed grade twelve and attained the age of twenty-one at the time of application. Students with Continuing Education status may sample up to twelve credit hours of courses, after which it will be necessary to apply to become a regular student.
Graduate Note: If you have not been admitted to CMU as a regular graduate student, you must submit together with this form an official transcript showing that you have completed a baccalaureate degree with a grade point average of 3.0 or higher. You will then be eligible for admission as an Unclassified Graduate student.
Note: If you have already been attending CMU graduate courses as a visiting student from AMBS or MBBS, you do not need a letter of permission.
If you are attending as a visiting student, please arrange with your home institution to send a letter of permission.
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Name of school for visiting student credit
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| Courses |
Please indicate the course or courses for which you are applying (maximum 1 course/session).
Indicate if you wish to take it for training or credit.
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Session I: June 14-18, 2010
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Poets, Prophets and Music of Social Justice
(Poets) Graduate Credit ($730)
(Poets) Undergraduate Credit ($730)
(Poets) Training ($535)
A Cree Perspective on Non-Violence
(Cree) Undergraduate Credit ($730)
(Cree) Training ($535)
Our Contested Food System: Cultivating a Just Peace
(Food) Undergraduate Credit ($730)
(Food) Training ($535)
None
None
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Session II: June 21-25, 2010
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Agents of Change in Intractable Conflicts
(Change) Undergraduate Credit ($730)
(Change) Training ($535)
Peace Skills Practice
(Skills) Undergraduate Credit ($730)
(Skills) Training ($535)
Mennonite Approaches to Peace and Justice
(Mennonite) Graduate Credit ($730)
(Mennonite) Undergraduate Credit ($730)
(Mennonite) Training ($535)
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None
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Session III: June 28-July 2, 2010
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International Perspectives on Restorative Justice
(Justice) Undergraduate Credit ($730)
(Justice) Training ($535)
Thriving in a Firestorm: Congregational Peacebuilding
(Congregational) Graduate Credit ($730)
(Congregational) Undergraduate Credit ($730)
(Congregational) Training ($535)
None
None
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Total Owed for Courses
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| Meals |
It is important for food services to know both how many and which days you plan on eating on campus. Peacebuilder Lunch Banquets on Thursday June 17, Thursday June 24 and Wednesday June 30 are included with course fee for the respective week. GST and PST are included in meal prices.
GST registration number: 88560 8323 RT0001
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Breakfast: $5.50, Lunch: $8.80, Supper: $11.50
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I will not purchase on-campus meals
I will purchase on-campus meals
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Amount owed for meals
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If you would prefer vegetarian meals, have food allergies or have other dietary concerns, please specify.
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| On-campus Lodging |
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# of Nights x $29.50 per person per night, double occupancy
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OR
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# of Nights x $41.50 per person per night, single occupancy
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Amount owed for lodging
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Lodging Arrival Date
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Lodging Departure Date
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OR
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I do not need on-campus lodging
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| Late Fee |
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Late Fee Check
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(For registrations received after April 1, 2010) $50
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| Payment |
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Total to be Paid (Combined amount of Course Fees, Meals, Lodging and Late fee, if applicable):
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Payment Options: You may either pay by credit card (if a resident of Canada or the U.S.) or register and pay later by cheque. Note: Those outside the U.S. and Canada can register online, but must send
payment separately via wire transfer, postal money order or bank draft.
E-mail csop@cmu.ca for more information.
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Payment Method
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Click here to register online and proceed to checkout using your credit card.
Click here to send your registration to the School of Peacebuilding, but pay by mail later. Note: Your application is not complete until we have received your payment.
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Note: Acceptance into the program will be confirmed by mail or e-mail.
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