personal information:                

name:

surname:

date of birth:

nationality:

phone number:

country of residence:

email:

place of birth:

esc participant number:

sex: m/f/non-binary:

sending organization from your country of residence:

address:

country:

city:

postcode:

street and flat/house number:

emergency contact details:

name and surname:

address:

email:

phone number:

what’s your relation to this person?

SECTION 1: MOTIVATION AND EXPERIENCE

1. Why would you like to join this volunteering project in Opole, Poland?

What interests you the most about this opportunity and what would you like to gain from this experience?

2. Which hosting organization would you prefer to work with during your volunteering project? Please rank the following organizations from 1 to 6, where 1 means your most preferred option and 6 your least preferred option:

3. What’s your reasoning for choosing the organization you marked as your number 1 choice?

4. Tell us about your experience working with children or young people.

Please describe the age group, approximate number of participants, your role, and examples of activities, workshops, games or events you organized or supported.

5. What kinds of activities would you like to organize during the project?

You can share ideas related to culture, languages, sports, art, music, dance, social media, outdoor activities, workshops, games, or anything else you enjoy. Feel free to be creative and write as much as you want.

6. Which types of tasks do you enjoy the most?

Please rank the following from the most preferred to the least preferred, where most preferred is 1 and least preferred is 10:

7. What challenges do you think you might face while living abroad for several months?

How do you usually deal with stress, difficult situations or changes? What are your expectations and concerns about the project?

8. Have you participated in any international projects, exchanges or volunteering activities before?

If yes, please describe your experience.

SECTION 2: ABOUT YOU

9. How would your friends describe you?

Tell us a little about your personality, strengths, areas you would like to improve, and what is important to you in life.

10. What does your everyday life look like?

Tell us about your hobbies, interests, free time, friends, family or anything else you would like to share about your life and background.

11. What are your plans or goals after the ESC project?

How do you think this experience may influence your future?

12. Is there anything else you would like us to know about you?

SECTION 3: SUPPORT & INCLUSION

Disability or special needs (physical, sensory, intellectual, learning-related, etc.)

yes/no

Health-related difficulties (chronic illnesses, mental health conditions, dietary needs, etc.)

yes/no

Educational difficulties or learning challenges

yes/no

Cultural or language barriers

yes/no

Financial or economic difficulties

yes/no

Experiences of discrimination or social exclusion

yes/no

Living in an area with limited opportunities or access to services or transport

yes/no