Membership/Associate Form

Name(*)
Please type your full name

E-mail(*)
Please enter a valid email address

Address(*)
Please enter your address

City(*)
Please enter the city

Province(*)
Please select the province

Postal Code(*)
Please enter the postal code

Phone Number(*)
Please enter the phone number

Password(*)
Please enter a password!

Verify Password(*)
Retype the password!

Membership(*)

Please select a membership

Share my contact information with other CICR members ?(*)
Please select an option

Based on members’ requests for networking, we make members' names and contact information only visible to other members; remaining personal information is not shared. Please select "Yes" if you agree to share your contact information with other CICR members.

Donation
Invalid Input

YES, I want to contribute an additional donation to the Canadian Institute for Conflict Resolution and the training they provide towards establishing conflict-resolving communities

Total
0.00 CAD

Captcha
Please click the checkbox above

Partnerships

 
cjcu logo cmo logo small macewanu icon  USP logo AST Logo 2017 usherbrooke icon unb icon