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Bright Horizons - Application form
Dear applicant, by filling in this form you are applying for the youth program "Bright Horizons" that will happen from the 4th to the 12th of October 2019 in Ravnogor, Bulgaria (excluding travel days).

By filling this form you declare that you have fully read and understood the content and the conditions of the webpage of the project: http://bit.ly/brighthorizons_webpage

The project is open for participants from 20 till 28 years old resident in Bulgaria, Greece, Italy, Latvia, Lithuania and Spain.

With your application, you commit yourself for the whole project: preparation, participation in the exchange and follow-up activities.

We will choose as participants the applicants that will look to us more in line with the aim and method of the project, we recommend you to dedicate enough time to complete it fully.

Bright Horizons Team
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Country of residence: *
First name: *
Surname: *
Name you want to be called during the project : *
this will be printed on your name tag
How do you identify yourself regarding your gender? *
Date of birth *
MM
/
DD
/
YYYY
Place of birth: *
Address of residence 1 *
street/square name and number
Address of residence 2 *
ZIP code and city
Email contact: *
Mobile number *
national prefix + number
What is your current occupation or profession? *
What is your level of English? *
Do you need translation? *
In case you are understand other languages write them here *
Do you have any physical limitation? *
If yes explain what it is and how it is limiting you: what you can and what you can't do
Do you have any diet or allergy? *
ex. vegan, vegetarian, lactose free, gluten free, allergy to cheese, allergy to bees' bites...  We will adapt the menu to your needs, still this is not the moment to experiment something new: it require many efforts from our side to adapt the food to all diets and needs!
Do you take any regular medication? *
write her all the medication names you take
Do you have a medical insurance valid in Bulgaria? *
ex. the European Health Card
Contact in case of emergency *
write the name, the surname, the phone number and the relation of this person with you
Did/do you face any obstacle/difficulty related with your social environment, culture, identity, family, economical situation or do you live in an isolated place? Do you have chronic health problems? *
Explain briefly
Is the personal economic contribution of 50€ an obstacle for you to participate in this project? If yes explain why *
What are the reasons that bring you to apply for this project? *
What do you want to improve or learn concerning your personal development during Bright Horizons? *
What do you want to improve or learn concerning the topics of culture, cultural filters and cross-cultural communication during Bright Horizons? *
How do you plan to use what you learn in the project when you go back home? *
What challenges (obstacles, life questions, important decisions, struggles) do you experience in life at the moment? How do you deal with them? *
How do you see yourself? How would you describe your approach towards people /yourself/society? What do you perceive as supportive attitudes/patterns/behaviors of yours? What do you see not working - and what would you like to change? *
How did you find out about this project? *
Facebook, Friends, Someone recommended it to me, etc.
Comments (optional)
*
I hereby declare that all the above information are true and correct to the best of my knowledge. By submitting this application I confirm that I have read and understood the information written in the web page of the project: http://bit.ly/brighthorizons_webpage  and the conditions of reimbursement of Bright Horizons project and I know and accept the conditions of participation. I commit myself to take part for the full duration of the project: preparation, international program and follow-up activities and to participate in the whole evaluation process; in case I will break this commitment I will renounce to the travel reimbursement. I am aware that obtaining a health and a full travel insurance is my own responsibility and at my own expenses. I understand that the information I provided on my special needs does not remove my own personal responsibility for ensuring my own health. I understand and agree that the project may be photographed/filmed and used for publications or websites and social networks to provide visibility to the project, the organizations and the public bodies involved in it.
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