PeerLink | Join now

Join over 1500 young people in the PeerLink membership by completing this short form

Soon after signing up you’ll receive a pack and membership card. You’ll also be first to hear about upcoming events and news through our regular project ‘zines.

First Name (required):

Last name (required):

Date of Birth (required):

(dd/mm/yyyy)

Gender:

Address:

Postcode:

Phone Number:

Mobile Number:

Email address (required):

Name of School/Project:

Do you currently attend:

What mediation or conflict resolution training have you had?

Are you a:

How did you hear about PeerLink?

The details you give in this section are very helpful for our reports but if you’re not comfortable with filling it in then just leave it blank.
(Ethnicity categories based on the Commission for Racial Equality guidelines)

Ethnicity:

Ethnicity Detail:

Would you describe yourself as having a disability?

If 'YES' please provide details:

PeerLink membership is available to anyone aged 11 to 21 who lives in England but if you are under 16 your parent/guardian/carer needs to tick this box to indicate that they agree with your becoming a PeerLink member.

When you press the submit button you are agreeing to become a PeerLink member and be contacted using any of the contact details you’ve provided in this form by staff working for PeerLink and Leap Confronting Conflict. This contact will only be used for the purpose of updating you on project news, advising you on any appropriate opportunities and to promote or assist Leap Confronting Conflict and our conflict resolution activities. We wont pass on your details to any other individual or organisation without your permission.