The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Send
Section 1 of 1
NewGen Peacebuilders- Santa Rosa, Spring 2017 Application for Participation
Applicant Information
Loading...
Loading…
First Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Last Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
School Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
School Address
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Grade
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Your Cell Phone:
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Your Home Phone
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Your Email
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Please list the name/position of any faculty member, mentor or NewGen Peacebuilders alumni who suggested you apply for the Santa Rosa, Spring 2017 program:
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Parent/ Guardian Information
Loading...
Loading…
Parent/ Guardian First Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Parent/ Guardian Last Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Parent/ Guardian Email
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Parent/ Guardian Phone
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Have you reviewed the dates and expectations for the program with a parent/guardian before submitting this application?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Service/ Service Learning Experience
Loading...
Loading…
Are you a member of the Interact Club at your school?
Question Type
Loading image…
Yes
No
My school does not have an interact club
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Please list any service clubs that you have been involved in, as well as any leadership/ officer positions you hold/ have held in school or community organizations.
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Short Answer Questions
Please answer the following questions in about a paragraph each.
Loading...
Loading…
Why are you are interested in participating in NewGen Peacebuilders?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
How do you define the following terms: "peace," "violence," "conflict?"
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Please describe a global conflict or peace opportunity that interests you.
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What is one specific conflict/issue in your community that you think is important to learn about, discuss, and possibly work on? Please provide as complete a description as you can.
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Regarding this conflict/issue, what ideas do you have about how young people could help bring peace to the issue? Please be as specific with your "action" ideas as possible even if you are only guessing about what might work.
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Over the last 50 years, do you believe the world has become more peaceful or violent?  Why?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Who is a person that you admire for being a “peacebuilder?”  Why do you admire him/her?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What is your definition of a peace project?  Have you been part of a peace project?  If so, tell us a little bit about the project and your role.  If not, tell us about another service project you have led or been involved in. What was your involvement? What did you learn?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Questions?
For Questions Contact:
Elizabeth Peacock, Director of Operations
epeacock@newgenpeace.org
704.607.3301

Loading...
Loading…
Link to Sheets
Message for respondents
This form is no longer accepting responses
Insights
Total points distribution
Loading...
Loading responses…
Applicant Information
First Name
Copy
No responses yet for this question.
Last Name
Copy
No responses yet for this question.
School Name
Copy
No responses yet for this question.
School Address
Copy
No responses yet for this question.
Grade
Copy
No responses yet for this question.
Your Cell Phone:
Copy
No responses yet for this question.
Your Home Phone
Copy
No responses yet for this question.
Your Email
Copy
No responses yet for this question.
Please list the name/position of any faculty member, mentor or NewGen Peacebuilders alumni who suggested you apply for the Santa Rosa, Spring 2017 program:
Copy
No responses yet for this question.
Parent/ Guardian Information
Parent/ Guardian First Name
Copy
No responses yet for this question.
Parent/ Guardian Last Name
Copy
No responses yet for this question.
Parent/ Guardian Email
Copy
No responses yet for this question.
Parent/ Guardian Phone
Copy
No responses yet for this question.
Have you reviewed the dates and expectations for the program with a parent/guardian before submitting this application?
Copy
No responses yet for this question.
Service/ Service Learning Experience
Are you a member of the Interact Club at your school?
Copy
No responses yet for this question.
Please list any service clubs that you have been involved in, as well as any leadership/ officer positions you hold/ have held in school or community organizations.
No responses yet for this question.
Short Answer Questions
Why are you are interested in participating in NewGen Peacebuilders?
No responses yet for this question.
How do you define the following terms: "peace," "violence," "conflict?"
No responses yet for this question.
Please describe a global conflict or peace opportunity that interests you.
No responses yet for this question.
What is one specific conflict/issue in your community that you think is important to learn about, discuss, and possibly work on? Please provide as complete a description as you can.
No responses yet for this question.
Regarding this conflict/issue, what ideas do you have about how young people could help bring peace to the issue? Please be as specific with your "action" ideas as possible even if you are only guessing about what might work.
No responses yet for this question.
Over the last 50 years, do you believe the world has become more peaceful or violent?  Why?
No responses yet for this question.
Who is a person that you admire for being a “peacebuilder?”  Why do you admire him/her?
No responses yet for this question.
What is your definition of a peace project?  Have you been part of a peace project?  If so, tell us a little bit about the project and your role.  If not, tell us about another service project you have led or been involved in. What was your involvement? What did you learn?
No responses yet for this question.
Questions?
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions
.