Name:

Sex: select male female

School:

Expected graduation date:

Expected degree:

Email address:

Current Address:

Telephone number:

Would you prefer vegetarian meal for lunch on Saturday? select yes no

Are there any special needs you would like us to be aware of (physical, dietary, etc),

if yes, please explain.

Have you attended this Peace Conference before? select yes no

Would you like free accommodation with a Notre Dame student if it can be arranged?

Do you need information on local hotels? select yes no

Do you need directions on how to get to Notre Dame and the Kroc Institute? select yes no

Are you submitting a presentation to give at the peace conference? select yes no

Will you be travelling from outside the U.S. ? select yes no

When will you arrive? select Friday Saturday

Time of arrival:

Mode of transportation (if arriving by plane, please submit flight number and arrival time)

Which nights will you be staying overnight in South Bend? select Friday Saturday Friday&Saturday

(Optional) What is your Peace Studies background?

Tell us a little bit about how you are or have been involved in peace issues,

such as service work, memberships, school programs/classes, ROTC, etc.

How did you hear about the conference?