Peace and Friendship Youth Alliance Gathering Application Name * First Name Last Name Email * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Age Can you commit to be present and participate in the gathering from Oct 28 to Oct 31? * Yes No What is the best way to get in touch with you about your application? Why would you like to participate in this gathering? How do you think this experience can shape your involvement in your community? How do you see yourself in relationship with the Treaties? Whether you are part of a Wabanaki Nation (Wolastoqiyik, Abenaki, Penobscot, Passamaquoddy, or Mi’kmaq), or a settler? You are invited to pay what you are able. The cost per person for this gathering is $450 per person. The more you are able to contribute, the more people we are able to host. How much are you able to contribute? We ask that you provide a community reference. Please include the name and phone number for a reference, and let us know what your relationship is with this person. If you don’t have anyone right now, please send us a reference within a week. Thank you!