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Iran Delegation Application

The Fellowship of Reconciliation has been advocating nonviolence and peaceful resolution of conflict since World War I. One of the ways we at FOR practice building bridges of understanding among nations is civilian diplomacy. Civilian (or citizen) diplomacy, a “track two” form of diplomacy, has been practiced by FOR since the 1920s.

Iran and the United States have not held formal political relationships in more than three decades. In such a situation, government officials and the media find it easy to demonize their adversary, creating a dangerous, wild picture to justify their hostile stance and reject the other side. Over a period of time, the proposed use of military force becomes an acceptable option to the public.

FOR believes that providing ordinary people in the United States an opportunity to meet with ordinary Iranians, and to see their world through their eyes, can begin to build a bridge between our peoples, who are separated by thick walls of propaganda and politically-motivated disinformation.

In our civilian delegations, we seek to meet with a cross-section of Iranian society. This includes members of more than one political faction and of more than one religion, plus cultural and nongovernmental representatives. We also visit and appreciate the beauties of Iran. The only sure way to peace is love and understanding. This is the potential of the bridge that FOR chooses to build.

To foster the path of understanding, we also provide our members with news on Iran and the latest developments in Iran/U.S. relations. Through all our programs, FOR promotes nonviolent action in the tradition of Mahatma Gandhi and Martin Luther King, Jr.

Apply to be a part of the next peace delegation to Iran

If you have any questions about applying, please email iran@forusa.org.

Your application will be securely stored on the FOR server. We will not add you to any mailing lists or use this information for any purpose other than your delegation application.

Personal Information

Please enter your name as it is printed on your passport.

First Name:

Middle Name:

Last Name:

Date of Birth:

Place of Birth:

City and state

Father's First Name:

Home Address

Street Address:

City:

State:

Zip Code:

Email Address:

Telephone Number:

Please list the number or numbers best to reach you.

Work Information

If you are retired, please enter your last employer and job title.

Employer:

Job Title:

Work Address:

Work City:

Work State:

Work Zip Code:

Work Telephone Number:

Travel Information

Citizenship:

Passport Number:

Passport Expiration:

Digital copy of your passport: *

Please attach a scan or digital photograph of your passport pages that include your photo, name and passport number (PDF, JPG or PNG formats only).

Background

Have you ever worked for or with the U.S. government?:

If so, please explain when, where and in what capacity.

Have you ever worked for the intelligence community?:

If so, please explain when, where and in what capacity.

Previous involvement, if any, with FOR:

Previous involvement on issues of peace, human rights or the Middle East:

Personal experience or training you feel is relevant:

International Experience

Have you lived abroad?:

If so, where did you live? When and for what reason did you live abroad?

Have you visited Iran, Afghanistan or Central Asia?:

Where, when and what was the purpose of your trip(s)?

Have you visited Israel, Palestine or the Middle East?:

Where, when and what was the purpose of your trip(s)?

Other Information

Religious Affiliation:

Ethnicity:

How did you learn about FOR's Iran delegation?:

Areas of Interest

Although we cannot promise to accommodate your requests, we will try to cater the trip to your interests.

Topics you'd like to investigate:

People or organizations you'd like to meet:

Why do you want to go to Iran?:

Do you have friends or relatives in Iran with whom you'd like to visit?:

If so, please list their names, addresses and job titles.

Commitments

We ask delegates to make a few basic commitments during the trip and upon your return. We would appreciate your indicating your general agreement to the commitments by signing your initials or briefly explaining any reservations you have.

On the trip:

To work as a team member and abide by the decisions of the group and the leaders.
To attend and be punctual at all meetings of the delegation unless extenuating circumstances prevent you.
To consult with the team leaders about meetings with friends or additional contacts to make sure that they do not create scheduling conflicts.
To act in the spirit of nonviolent engagement throughout the trip.

Signature: *

On return:

To work to foster friendship between Iran and the United States.
To work to educate public opinion about Iran and U.S.-Iran relationships.
To help recruit members for future delegations.
To help develop scholarship opportunities for future Iran delegates.

Signature: *

Please describe how you'd work to achieve the goals mentioned above upon your return:

Are you affiliated with any organizations or groups that could set up speaking engagements?:

Please provide the name of any groups, and provide contact information if available.

Medical Information

Doctor name and telephone number:

Blood type, if known:

Allergies:

Please describe your general health:

Have you ever been hospitalized for medical or psychological reasons?:

Please list dates and reasons for each hospitalization.

Are you currently under medical or psychiatric treatment?:

Dietary restrictions:

Special needs:

This delegation may require some walking and carrying of luggage. Would this pose any difficulty for you?:

Emergency Contacts

In the event of a medical or other emergency, please contact:

Contact Name:

Contact Relationship:

Contact Email Address:

Contact Phone Number:

Signature: *

Please write your name as a digital signature to your application.

FOR Members

FOR Email Updates

Iran Delegation Application

Apply to be a part of the next peace delegation to Iran

On the trip:

On return:

Emergency Contacts

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