DUIM Toronto Registration

TORONTO "ENGAGE DIFFERENCE! DUIM" PROGRAM REGISTRATION

Prior to registering please carefully read the program details

We are receiving a high volume of spam registrations from outside Canada. Unless pre-arranged through one of our partner organizations we will not accept registrations from outside Canada nor respond with a confirmation of registration. We are not able to provide funding for participation nor documents for immigration or visa purposes.

Contact information:

Name *

Full name (first and last)

Preferred name

(For informal conversation, on name tags, etc.)

Email *

Address *

Address

Street address

Street address line 2 (optional)

City

State/Province

Zip/Postal

Country

Phone *

Alternate phone

If you have applied for a bursary from a Forum for Intercultural Leadership and Learning / Canadian Council of Churches partner or your fees are being paid by a sponsoring agency they can be invoiced directly. Please indicate the agency or institution which will pay a portion or all of your fees (if applicable):

Sponsoring Agency or Institution

Shortly after you register we will be in touch with details for paying a deposit to confirm your registration and payment of balance of fees.

Personal and Family information:

Gender

Decade in which you were born

Denominational or institutional affiliation

Post-secondary education

Special interests and/or talents

DUIM Program related information:

The DUIM program is designed so that sessions build on each other and are within a learning community. It is important that you are present for the full program.

Please refer to the DUIM program page (www.interculturalleadership.ca/duim) for the program schedule. The course runs 9:00 am Monday to 5:00 pm evening on Friday.

There will be evening activities several nights of the program.

Commitment to attend *

Yes, I can commit to attending the full program

This course offering has an option to be taken for course credit through Wycliffe College for a small additional cost. Please contact The Forum for Intercultural Leadership and Learning for more information.

I am interested or plan to take receiving academic credit for this course

Yes

No

I have already registered for this course through Wycliffe College

Yes

No

Please describe your ministry setting

If you have previous training or experience in intercultural ministry please very briefly name which have been the most significant for your learning

What is your primary learning goal for this program?

Accommodation:

This is a non-residential program. Past participants have recommended finding accommodation near the program as it provides an opportunity for informal time with other participants and to focus on the course learnings during the week. Those travelling from away from the program location will need to arrange accommodation.

** If needed, it is your responsibility to arrange your own billet or accommodation. We will provide a list of suggested housing options.

Special Dietary and Other Needs:

Please describe any mobility or other ability issues:

Vegetarian Entrées

I prefer vegetarian entrées only

Other dietary needs or food allergies (if any)

Other, non-food related, allergies (if any)

Notes on the registration

Once you click "submit registration", there will be a message to confirm successful submission of this form or you will be asked to resubmit with missed information.

An automated email will be sent to confirm that we have received your registration. If it does not arrive in your inbox, please check your "junk mail" or "spam" folder.

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