9.3 Workshop Booking Form

I have read the Trident Ploughshares Handbook and require nonviolence training with my affinity group in preperation for our involvement. (If you have no affinity group please say so, and we will try to fit you into one.)

NAME:
ADDRESS:



POSTCODE:
PHONE:
FAX:
EMAIL:

AFFINITY GROUP NAME

OTHER MEMBERS OF AFFINITY GROUP


(if you are not yet part of an affinity group, please state)

HOW LONG HAS YOUR AFFINITY GROUP BEEN ACTIVE?

We would prefer our workshop to be in the ................................... area

Preferred dates:

1.

2.

3.

(workshops will take place over two consecutive nights & days, beginning the evening of the first night)

Signature .........................
(on behalf of affinity group)

Date ..................

Please read the following notes carefully and copy them before sending the form:

Please answer the following questions for ALL members of your affinity group. Your answers will help us in the planning of your nonviolence training workshop.

What issues have you been campaigning on?

(tick for each affinity group member)


Nuclear weapons [ ]           Arms trade [ ]          Human rights [ ]

  Animal rights [ ]       Nuclear energy [ ]             Education [ ]

     Fair Trade [ ]         Civil rights [ ]          Homelessness [ ]

      Transport [ ]   Trade union issues [ ]              Poll tax [ ]

   Unemployment [ ]         Biodiversity [ ]         Prison reform [ ]

     Healthcare [ ]  Genetic engineering [ ] Alternative economics [ ]

  Transnational corporations [ ]   Other [ ] .........................

How long has each person been involved in campaigning work:

(one tick for each affinity group member)

Not till now [ ]
0-2 years [ ]
2-5 years [ ]
5-10 years [ ]
10-20 years[ ]
20+ years [ ]

What have your contributions been? (eg attendance at meetings, marches, letter-writing, newsletter, childminding, making the tea....). Answer for each group member.



How many of you have participated in direct actions before?

When & where?



How many of you have had experience of direct action with an affinity group?

How many of you have had experience of direct action with THIS affinity group?

How many of you have had experience of nonviolence training (in any capacity)?

Please return this completed form to:

Alison Crane, 36 Yelverton Ave., Weeping Cross, Stafford, ST17 0HE. Tel: 01785 611768. Email training@tridentploughshares.org

www.tridentploughshares.org