Youth Conference Application Form

Applications submitted after October 11th will be added to our waiting list
and considered only if a selected applicant is unable to attend.

Basic Questions:
           
Complete Name:
  

School/Organization
(if Applicable):

  
           
Street Address:
 
   
City:
  
State / Province:
  
Zip / Postal Code:
  
Country:
  
           
Home Phone:
  
Cell Phone:
  
E-Mail:
  
Date of Birth::
 / /
 

Our facilitators are committed to creating a safe space for everyone and stand in solidarity with all our peoples working for social justice.
Special Needs :
 
           
Short Answer Questions:
     
1. What type of involvement, if any, have you had with other nuclear disarmament groups, or related initiatives?
 
2.From whom or where did you hear about the "Think Outside the Bomb" conferences?
 
3. Will you be traveling from out of town/country in order to attend this conference?
 
4. Give us a short personal description as a way for us to get to know you better, (feel free to be creative, but be sure to include name, interests, and educational background).
 
The information provided in this application is true and correct
 
   

 
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