Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Youth Exchange "Empty Your Mind to Fill it with Creativity"
Sign in to Google
to save your progress.
Learn more
* Indicates required question
1. Name
*
Your answer
2. Surname
*
Your answer
3. Date of Birth
*
MM
/
DD
/
YYYY
4. Gender
Male
Female
Prefer not to disclose
Clear selection
5. Email
Your answer
6. Phone number
Your answer
7. Address
Your answer
8. Country
Your answer
9. Emergency Contact
Your answer
10. Do you have any special food requirements?
Your answer
11. Do you have any physical health problems, mental conditions or diseases that may influence your participation in the youth exchange?
Your answer
12. What is your motivation to take part in this youth exchange?
Your answer
13. What is your experience/interest in creative writing?
Your answer
14. What is your experience/interest in meditation and mindfulness practice?
Your answer
15. What would you like to share with the group during the exchange?
Your answer
16. Any other comments
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report