International Peacemaker Request Form
2021 International Peacemaker Dates: September 24 - October 18

International Peacemakers, a ministry of the Presbyterian Peacemaking Program, invites leaders from our partner churches around the world to share their experience as peacemakers. Understanding peace and justice concerns of others around the world will inspire, equip and connect Presbyterians in transforming cultures of violence into communities of peace. The itineration of International Peacemakers is intended to enhance the ministry of PC(USA) mid-councils, colleges, seminaries and institutions.

This year's International Peacemakers come from:
Argentina
Cameroon
Fiji
Greece
Honduras
Madagascar
Malawi
Nigeria
Palestine
Rwanda
South Sudan
Ukraine

They will help us become a Matthew 25 Church and bring unique experiences and stories from their work in the following areas:
HUNGER MINISTRIES: I was hungry and you gave me food
CLEAN WATER/ENVIRONMENTAL JUSTICE: I was thirsty and you gave me something to drink
IMMIGRATION/MIGRATION/REFUGEE WELCOME: I was a stranger and you welcomed me
POVERTY ALLEVIATION: I was naked and you gave me clothing
HEALTH AND WELLNESS: I was sick and you took care of me
RACISM/SYSTEMS OF OPPRESSION AND VIOLENCE: I was in prison and you visited me

Cost: $475.00 (All airline travel is included. Hosting entities plan schedules in their regions and provide housing, local transportation, and all meals)

Applications will be received until June 1, 2021. Requests will be honored on a first-come, first-served basis, with preference given to first-time requests and those who have not hosted an International Peacemaker in recent years. After June 1, a few peacemakers may still have availability in their schedules. Please contact the Peacemaking Program for details.
Email address *
MID-COUNCIL INFORMATION
Please note that the Presbyterian mid-council (presbytery and/or synod) in your region must be aware and involved in the International Peacemaker's visit to your area.
Mid-Council *
Name of Mid-Council Contact *
Best phone for mid-council contact *
Best E-mail for mid-council contact *
Is the Mid-Council aware of this request to host an International Peacemaker? *
LEAD CONTACT PERSON
This is the primary contact person with whom the Peacemaking Program will connect regarding the International Peacemaker
Last Name *
First Name *
Mobile phone *
Email *
ADDRESS FOR ALL MAILED CORRESPONDENCE
This address will be used to mail any printed materials related to the International Peacemakers Program
Street Address/P.O. Box *
City *
State *
Zip Code *
SECONDARY CONTACT PERSON
This is an additional person who will be included in all correspondence about the International Peacemakers. This is required.
Last Name *
First Name *
Mobile phone *
Email *
INTERNATIONAL PEACEMAKER REQUEST
International Peacemakers ordinarily visit for 5-7 days, which include arrival and departure days. Travel days are not scheduled and transitional days intended for travel alone. International Peacemakers are available from September 24 - October 18, 2021
Preferred arrival date - 1st Choice *
Please provide us with the date you would prefer the peacemaker to arrive
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/
DD
Preferred departure date - 1st Choice *
Please provide us iwth the date you would prefer the peacemaker to depart
MM
/
DD
Alternate arrival date - 2nd Choice
Please provide us with the date you would prefer the peacemaker to arrive
MM
/
DD
Alternate departure date - 2nd Choice
Please provide us with the date you would prefer the peacemaker to arrive
MM
/
DD
Please describe any other particularities of or reasons for your date selection that would be helpful for us to know (e.g. presbytery meeting date, community function etc) .
COUNTRY/PEACEMAKER SELECTION: 1st Choice *
COUNTRY/PEACEMAKER SELECTION: 2nd Choice *
COUNTRY/PEACEMAKER SELECTION: 3rd Choice *
Which is more important to you? The country of your peacemaker or the dates for the visit? *
TRAVEL ARRANGEMENTS AND ACCOMMODATIONS
The following information helps us build the peacemakers' itineraries and plan for their visits.
Preferred airport for arrival *
Please provide the name and EXACT airport code for the selected airport, for instance "John F. Kennedy Airport, New York - JFK"
Alternate airport for arrival
If there is another airport within a reasonable distance that you would be willing for us to consider when booking your peacemaker's travel, please provide the name and EXACT airport code for the selected airport, for instance "John F. Kennedy Airport, New York - JFK"
Preferred airport for departure *
Please provide the name and EXACT airport code for the selected airport, for instance "John F. Kennedy Airport, New York - JFK"
Alternate airport for departure
If there is another airport within a reasonable distance that you would be willing for us to consider when booking your peacemaker's travel, please provide the name and EXACT airport code for the selected airport, for instance "John F. Kennedy Airport, New York - JFK"
Housing *
The International Peacemaker will most likely be housed in (select all that apply):
Required
Housing in a Private Home or Residence
If your peacemaker will be in a private home or residence, does the home have (select all that apply):
If you answered "yes" to any of the above, please explain:
Anticipated Audience (select all that apply): *
During the visit, the International Peacemaker will most likely provide leadership with the following groups:
Required
How many different presentations or speaking engagements do you anticipate the Peacemaker will make during the visit? *
What can we share with the International Peacemaker that would be helpful to know about your group or organization? *
What can we share with the International Peacemaker that would be helpful to know about your region or part of the country? *
Describe the initial plans for the International Peacemaker's visit. *
A copy of your responses will be emailed to the address you provided.
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