round table. n 1: a meeting of peers for discussion and exchange of views. 2: a discussion involving several participants. 3: a peer-learning event in which participants are both teachers and learners.

Before completing this application, please read information and criteria for participation in the Peacemakers' Round Table.

Request to Join the Peacemakers' Round Table

I confirm that I have read and agree with the purposes of Peacemakers Trust.

Your name (as you wish it to appear publicly on the Round Table list): required	your valid email address: required. It will not be circulated; we are committed to maximizing your privacy)
Your occupation and degrees or designations: (e.g. BA, MA, Ph.D.; QC, C. Med, etc.. Students please indicate "in progress") optional	your webpage URL (optional)

Your regular mailing address: street and number and P.O. number (required, but not published or circulated without consent)

your city/town and province (required)

your country (required)

your postal code (required) if your country has no postal code put in '0000' (four zeros)"

phone number: include country code, area code, extension (required)

I give permission to Peacemakers Trust to publish my personal information on the Peacemakers' Round Table list (and nowhere else). Check whichever is applicable. If a box is unchecked, the corresponding information will NOT be published. (For your email address, this unlinked format will be used: yourname at domain.ca)

publish name
publish occupation and degree(s)
publish city and country only
publish full address

publish phone
publish email
publish URL
publish none of the above

Please state your age. (required) This information will remain private.

18 or over under 18

More about you: (optional)
Why does Peacemakers Trust want to know more about you? We're interested in learning more about the general profile and interests of those who request to become part of the Peacemakers' Round Table. This will help us focus our planning to best suit those involved.

I am a (please check the appropriate box(es); this information will remain private.)

mediator
human rights worker
researcher
trainer

instructor
academic
student
interested member of the community

Other? Please indicate your area of study or practice: (eg: social work, law, development, schools, performing arts, high school student, etc.; this information will remain private.) (optional)


We'd be interested in learning more about your interests, expertise or involvements in the field of conflict resolution or peacebuilding. If you wish, you may cut and paste your biography or a link to an online biography. Add any other comments you wish. This information will remain private.)


May we send you occasional announcements from the Peacemakers' Round Table and news from Peacemakers Trust at the email address you have provided on this form? (required field: yes or no)

yes, I'd like to be on The Round Table List (recommended; postings unlikely more than once a month or so)no thank you (this means we won't send you information about Round Table activities.)

Would you like to be on The Parley List to receive announcements and occasional newsletters from Peacemakers Trust at the email address you have provided on this form (a few announcements a week; daily digest available)? (required field: yes or no)

yes, I'd like to be on The Parley List no thank you (this means you won't receive regular postings about activities or events around the world.)

N.B. If you choose to go on both of the above lists, there may be some duplicate news sent to both Parley and Round Table lists. This would be kept to a minimum; some information goes only to the Parley List and some goes only to Round Table List. We recommend that you go on the Round Table list at least. You can unsubscribe from either list at anytime.

Do you wish to make a donation to Peacemakers Trust to support the ongoing availability and development of its resources and activities? (If you've recently donated, feel free to indicate "$0")

$100 or more: Full participation on the Round Table list (your name, your contact information, link to your webpage listed; invitations to events, Round Table List and Parley List option, tax receipt (for Canada only)
$25 - $99: Basic participation on the Round Table List (your name and basic contact info listed (no website links), invitation to events, Round Table List and Parley List option, tax receipt (for Canada only)
$0: At this time, I'd like to try out the Peacemakers' Round Table (your name and occupation listed, invitations to events, parley list option.)
$___: I'd like to make a donation, but I'd rather not be part of the Peacemakers' Round Table list (please specify amount below).

If you wish to make a pledge, please specify the amount. (optional) This information will remain private.
How to make a donation by cheque or PayPal.

Please proofread the form to ensure that you have answered all questions before hitting the 'send' button.



Please note that neither your name nor personal info will be used by Peacemakers trust without your express permission. We are committed to assuring your privacy. The board of directors of Peacemakers Trust reserves the right to change qualifications for acceptance to the Peacemakers' Round Table, and may accept or decline any request to join the Peacemakers' Round Table at its discretion.

Return to Peacemakers Trust: Peacemakers' Round Table
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Confirm: Because of excessive robotic activity, it has become necessary to confirm that you are an actual person.
You can do this simply by doing nothing at all. (Fill in this box and you can be assured that the form will not reach Peacemakers Trust.)