Eastern Mennonite University

Application Form
Summer Peacebuilding Institute 2008

*** = Required information

Although the deadline has passed for SPI applications, there is still room left in some courses. Applications will be accepted until courses are full and a waiting list is available for full courses.

Personal Information

---------------------
Please use the exact name that appears on your passport.
Family name (surname)***
First name***
Middle or initial
Name you wish to be called
Organizational Affiliation
Job Title

Reliable Mailing Address


Mailing address is: Personal Organizational
Street or P.O. Box***
City***
State or Province***
Postal Code
[look up U.S. or Canadian codes]
Country***
If temporary address, valid until year:

Phone/Fax/Email

Home phone number (include area code, country and city codes):
Office phone number (include area code, country and city codes):
Cell phone number (include area code, country and city codes):
Fax number (include area code, country and city codes):
E-mail address #1:
E-mail address #2:
Website:

Personal Information

Gender*** Female Male
Birth date*** Year:
Country of Citizenship***
Country of Birth***
Passport Number
Do you currently hold a US visa? N/A Yes No
   

If you are a United States citizen,
what is your ethnic background? (optional)
First Language
Other Languages
Religious Affiliation (optional)
   
How did you hear about SPI?***
   
Education Completed

Secondary School
College or University Degree OR
2 years of equivalent work experience in peacebuilding, restorative justice, or in the closely related fields of relief, development, trauma recovery and human rights. Please specify work experience.

Graduate Degree Post Graduate Work

Optional questions are only used to ensure classroom diversity. The information will be considered confidential.

Please Note:

Priority for admission to classes at the Summer Peacebuilding Institute (SPI) will be given to individuals working in peacebuilding, restorative justice, trauma, disaster relief/recovery, or other related fields. Preference will be given to those for whom the training will clearly contribute to a current position or program of study or to personal and professional goals for the future. SPI seeks to ensure diversity in the classroom. Fluency in English is required for all courses.

As the demand for certain courses is quite high, it is possible that you will not be admitted to every course of your first choice. Please indicate your second choice to ensure you get in a class. Courses can be taken for academic credit or for professional training, not both.

APPLICATION FORM

Instructions:

  1. You can only take one course per session.
  2. Select at least a first and second course preference per session.
  3. Please specify for each session whether you intend to take the course for training or for academic credit.
Session I (May 5-13, 2008)

1st preference:
2nd preference:
Session II (May 15-23, 2008)

1st preference:
2nd preference:
Session III (May 27-June 4, 2008)

1st preference:
2nd preference:
Session IV (June 9-13, 2008)
(Special five-day courses)

1st preference:
2nd preference:

 

SUPPLEMENTAL INFORMATION

The following information MUST be received before we can process your application. Those who were accepted for course(s) last year (2007) need only supply the Statement of Financial Support.

(If you applied last year, please put “not applicable” under Statement of Experience and Statement of Intent.)

1. Statement of Experience.***

In several paragraphs, please describe the relevant work and personal experiences, past and present that you feel motivate and prepare you for study at SPI.

2. Statement of Intent.***

In several paragraphs, please describe your objectives for studying at the SPI and the ways in which you expect to apply the training you receive.

3. Statement of Financial Support.***

Please explain how you anticipate paying for your study at SPI.

4. Letter of Reference:***

Please forward a letter of reference from an organization that knows you and your work. The letter should comment on how long they have known you; in what capacity they have observed your work; what your work has entailed; your facility in spoken English; and in what ways they think this training will be helpful in your ongoing work.

CONTACT INFORMATION:

Summer Peacebuilding Institute
Eastern Mennonite University
Harrisonburg, VA 22802-2462
USA

Telephone: 540-432-4672
Fax: 540-432-4449
E-mail:
Web site: www.emu.edu/spi

The deadline for this application is January 7, 2008. Applications will be accepted after that date, until the classes fill up, but there is no guarantee that you will get into the course of your choice. We do maintain a waiting list for each course and qualified applicants, not admitted, may be placed on a waiting list.