Program in Leadership and Negotiation for Young Professionals

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Program in Leadership and Negotiation for Young Professionals - Summer 2020

Email *

First Name *

Last Name *

Mobile phone number *

Number for WhatsApp (if different)

Home City/Town

Age Range

21-25

26-30

31-35

36-40

Clear selection

Organizational Affiliation *

Years active in organization *

Current Employment Status *

Student (Undergraduate)

Student (Masters)

Student (Doctorate)

Unemployed

Part-time

Full-time

Other:

Required

Bio - please share a one paragraph professional/personal biography, written in the first person, to be shared with all participants (~ 100-150 words) *

Intention - please share a one paragraph sharing your main motivation/s for joining this program (~ 100-150 words) *

Do you have any other requests or concerns to share with us? Anything you feel may be important for us to be aware of? *

Confirmation of participation

Please confirm your understanding of the following terms of the program:

I understand that the program and activities are inclusive of young professionals coming from diverse communities and backgrounds. I understand that participation will involve active engagement with members of other communities and gender. *

Yes

Required

Acknowledgement of confidentiality clause: All participants' attendance and participation in this course will be confidential and remain within the digital space shared by the course administrators, facilitators, and other participants. While ALLMEP and PATHWAYS may use the course implementation for promotion on social media, participants' names and information will not be revealed. *

Yes

Required

I am voluntarily participating in this activity. I agree to hold Alliance for Middle East Peace (ALLMEP) and PATHWAYS and its directors harmless from any and all claims, loss or damage, liabilities and costs, including attorney’s fees, as a result of my participation in this course. *

Yes

Required

Course Cost & Payment: Each participant is required to make a $50 payment to complete course registration. This fee will be made directly to the organization of affiliation by Thursday, 3rd September 2020 at 17:00 Jerusalem Time. *

Yes

Required

Please send us a headshot photo to include in the participant handbook. Email your photo to connect@pathwaysnegotiation.org with your full name in the filename

Required

A copy of your responses will be emailed to the address you provided.

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