Cultural Exchange 2020: SELMA, AL Registration Form
MARCH 23rd 2020 - MARCH 29th 2020

REGISTRATION CLOSES FEBRUARY 1ST 2020

The Resource Center for Nonviolence Cultural Exchange SELMA (CE SELMA) program provides opportunities for people of all ages to integrate intercultural understanding and develop culturally inclusive perspectives. Resources included in the program are geared toward developing knowledge about culture, cultural diversity and identity within the context of the United States.

Our program is designed to expose individuals to people from different cultural, religious, geographic and socio-economic backgrounds and in so doing provide the opportunity for participants to develop a greater understanding of diversity – both in the United States and worldwide.  We encourage everyone to interact with and learn from people who are different from themselves and to participate in new and unique experiences beyond their own communities. CE SELMA assists participants to develop positive relationships with others, understand a broader range of perspectives, and develop the knowledge and skills needed for participation in our multicultural society.

Cultural Exchange SELMA is managed by the Resource Center for Nonviolence.

SPACE IS LIMITED! REGISTER TODAY TO RESERVE YOUR SPOT!
For questions email: Drew@rcnv.org or call (831) 423-1626 x103

THE TRIP INCLUDES:
• 7 days and 5 nights in Selma, Alabama
• Lodging, breakfast, lunch and dinner everyday
• 4-hour Conflict Resolution Training
• Guided tours of the Ancient Africa, Enslavement and Civil War Museum as well as the National Voting Rights Museum

COMMUNITY SERVICE PROJECTS IN SELMA, AL INCLUDE:
• Collecting oral histories of foot soldiers, transcribing of oral histories and/or archiving at the National Voting Rights Museum.
• Cleaning the Civil Rights Memorial Park.
• Helping with the farm-to-table coop
• Voter registration, education and mobilization.
• Canvassing communities to hear current concerns for strategic planning to include the community's voice.
• Teaching nonviolence and/or conflict resolution to youth using the arts.
• Helping with the Community Garden in Ward 4.
• Co-hosting a community radio program regarding current social justice issues.
• Neighborhood cleanups and city beautification projects
• and much more!

TOTAL COST ONLY $1,400/person
Find a way to say YES!

JOIN US!

Drew Glover
Drew@rcnv.org
(831) 423-1626 x103

Sign in to Google to save your progress. Learn more
First Name *
As it appears on your government-issued photo identification
Last Name *
As it appears on your government-issued photo identification
Nickname (optional)
Email *
Phone Number *
Birth Date *
As it appears on your government-issued photo identification
MM
/
DD
/
YYYY
Preferred T-Shirt Size *
School or Organization *
If none please mark "N/A"
Preferred Gender Pronoun *
Dietary Restrictions *
Mobility/health concerns/special needs
Emergency contact (name, number, and relationship) *
What skills, knowledge, and/or experience do you have that you think would be good to share with others?  (We all have something to contribute)
I would like more information on scholarships and travel subsidies *
STOP! Before pressing the submit button please complete the RESERVATION FEE PAYMENT PROCESS.
You have three choices. You can pay:
1. The RESERVATION FEE secures your space on the trip but you will be required to pay the remainder before departure.
or
2. The TOTAL COST which will COVER EVERYTHING!

OPTION 1: Pay the Reservation Fee/Down Payment: $700.00 + tax (nonrefundable)
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=BZANP26D9ENRC

OPTION 2: Pay the Total Cost: $1400.00 + tax ($700 nonrefundable)
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=HKESJGYUPC66G
I have completed the Reservation Payment Process *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy