2014 Conference Registration Form

Each year our conference brings together teachers, education policy makers, curriculum planners, inspectors and NGOs from England, Ireland, Northern Ireland, Scotland and Wales to explore and discuss citizenship and values education.

The 2014 conference will be held on Friday 28 to Saturday 29 November in Belfast. It is the second of three conferences around the theme of citizenship and identities and this year the focus is on socio-economic inequality, political identity and participation.

The conference is invitation-only to secure a good balance of participants from each jurisdiction and from each constituency group.

The participant lists for Wales and England are now full. If you are from one of these two nations and you complete this form, you will be put on the reserves list and we will be in contact as soon as possible if a place opens up.

Travel bursaries of up to £100 for standard class travel can be claimed on provision of receipts after the conference.

* Indicates required field

Name *

First

Last

Job title *

Organisation/School *

Nation *

Email *

Telephone number *

Twitter *

Please confirm whether you will be a residential delegate (accommodation provided on Friday 28 November) or day delegate. *

Please confirm your attendance on both days of the conference *

Friday (registration from 09.30; conference starts at 11.00) Saturday (conference closes at 14.00)

Please confirm your attendance at the following meals *

Working lunch (Friday 28 November) Conference dinner (Friday 28 November) Post-conference lunch (1.30pm on Saturday 29 November)

Please state if you have any dietary requirements *

Please state if you have a disability that requires special assistance *

Please give us a brief description (50 words max) of your involvement and interest in citizenship and values education (for inclusion in the conference pack) *

Have you been to a Five Nations conference before? If so, when did you attend? *

Would you like to sign up to the Network and receive our biannual newsletter? *

Yes No I have already signed up to the Network

When you click 'Submit', you will be taken to an equality and diversity monitoring form.

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