Don T Mind the Gap Between Values and Action

APPLICATION FORM Finding Common Cause Residential training for communicators, organisers and leaders of social change June 9th – 12th 2014.

Contact details Name:

Email:

Phone:

Postal address:

Organisation:

Preferred reservation Please reserve me a place at

£660 (single room rate) £525 (twin room rate) £405(shared room – 4 person)

If you wish to share with a particular person please give their name:

Please tell us if you have any special dietary requirements or access needs:

Payment Payment can be made by cheque, BACS or Paypal and we will send you details on acceptance of your application. Bursaries If you would like to apply for a bursary, please let us know how much for and a little bit about why:

A little information about yourself

1. What got you interested in Common Cause? Please tell us any previous experience you have had with the Common Cause approach, such as attending a workshop, reading a publication, or trying to apply the principles to your work.

2. What questions will you be bringing with you to this course?

Please send your completed form to [email protected] by April 25th. We will let you know if your application has been successful within two weeks of receiving it.

valuesandframes.org