Application for Short Term Delegation

Name (as it appears on your passport)
CPT welcomes people of all gender identities. Please answer according to your own comfort.
Are you currently on CPT's mailing list?
Emergency contact information
Support contact from your faith community or community of support
Do you have experience, skills, or training in:
On this trip, do you plan to make/write:
Examples: African Descent, Asian Descent, European Descent, Indigenous, Aboriginal, Native American, Kurdish, Palestinian, etc.
3 + 6 =
Question description
CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
7 + 12 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.