PCB 2021 Registration Form
Please carefully fill out the form below
Participant Information
Name
First Name
Middle Name
Last Name
Birth Date
Please select a month
January
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Month
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1
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Day
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2024
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1920
Year
Gender
Please Select
Male
Female
N/A
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
T-Shirt Size
Please Select
Small
Medium
Large
X-Large
E-mail
example@example.com
Mobile Number
Questionnaire
Every participant in Project COMMON BOND has experienced the loss of a family member related to terrorism, violent extremism, conflict, or US military service.
How did you learn about Project COMMON BOND?
Have you attended Project COMMON BOND in the past?
Which family member did you lose and when did you experience this loss?
Which event caused this loss and where did the event occur?
Do you speak fluent english?
Participant Questions
Please answer the following 3 questions. This is not an academic assignment, and there are no right answers.
Why would you like to come to Project COMMON BOND, and what do you hope to learn from the experience? If you have been to PCB in the past, what is the most important thing you have learned while there and what new experience do you wish to have this year?
What qualities and/or skills do you bring to a program like Project COMMON BOND?
Please tell us about an experience you have had in your life that has changed or shaped who you are as a person.
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