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Registration Form: Students - Wellbeing

Crossing Borders Education is an international non-profit organization.
We are so excited to welcome you to our dialogues!

"*" indicates required fields

First Name*

"*" indicates required fields

Surname*

Email Contact*

Institution*

Occupation

Country

Age

18-24

25-34

35+

Gender

Male

Female

Prefer to self describe

Prefer not to say

Gender: Prefer to self describe as (Please specify here)

My English language skills are:

Fluent

Intermediate

Native Speaker

Do you require learning accommodations?

Yes

Please let us know your needs to support your learning experience:

Please select the blocks of dates:*

Block One: Nov. 14, 16, and 19, 2022 (Mon, Wed, Sat respectively)

Block Two: Nov. 29, Dec. 1 and 3, 2022

Please click if you are interested in future dates

(Numbers are limited. Please select all blocks that are possible for you to attend.)

I understand that I am committing to join all three dates in my preferred block(s).*

Agreed

I commit to the values of CBE Dialogue Agreements.*

(They are key for creating a nurturing space for building trust.)

Agreed

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My main reason to participate is:

How did you hear about our dialogue?

Friend / Colleague

The Outrage & Optimism podcast

Twitter

Cisco

Other

How did you hear about our dialogues: Other (Please specify here)

Crossing Borders – Encountering the ‘Other’ – Discovering Ourselves

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About Crossing Borders Education

Crossing Borders Education creates resources that are designed to serve society by strengthening vital skills and character through engaging media and peer-led intergroup dialogues. Crossing Borders Education is an international non-profit organization and charity registered in the UK.

Sign up

Registration Form: Students - Wellbeing

Crossing Borders – Encountering the ‘Other’ – Discovering Ourselves

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About Crossing Borders Education

Our partners include: