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Application form Vitality 2021 - European Solidarity Corps
Dear applicant, by filling in this form you are applying for the European Solidarity Corps project "Vitality 2021" that will happen for a period of 12 months from January to December 2021 in Bergolo, Italy.


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


We will choose as participants the applicants that will look to us more in line with the aim and method of the project, the more motivated a d pro-active. We recommend you to dedicate enough time and care to complete it fully.

With the chosen applicants we will organize some video calls to take the final decision and confirm the volunteer

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Country of residence: *
The country where you are officially leaving, in case you would need to travel to Italy from another country, mention it in the comment section at the bottom of this application form
First name: *
Surname *
Your age in January 2021 *
Date of birth: *
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Place of birth *
Write the name of the city and of the country
Nationality *
How do you identify yourself concerning your gender? *
Address of residence 1 *
write the name of the street/square and the number
Address of residence 2 *
write the ZIP code and the name of the city
Email contact: *
We will communicate with you through this contact
Mobile number *
national prefix + number
What is your current occupation or profession? *
What is your level of English? *
What is your level of Italian? *
Do you have any physical limitation? *
If yes, please explain what it is and how it is limiting you (what you can do and what you can't do because of it).
Do you take any regular medication? *
If yes explain what medication
Do you have a medical insurance valid in Italy? *
ex. the European Health Card
Contact in case of emergency *
Write the name, surname, phone number and what relation this person has with you (ex. mother/brother/boyfriend etc)
Mark all the boxes that apply to you *
Required
In case you selected one of the previous boxes, do you need any support in order to fully express yourself, ensure your psyco-physical and emotional wellbeing, your pro-active attitude during the 12 months volunteering? *
Please explain how can we support you
What is that calls you to apply for this project? Why do you want to participate? *
Do you have previous experiences in non-formal education? Ex. participating or organizing workshops for young people? Share about them, and about their methodology *
Do you have experiences of sharing the house with other people (not family members)? In case you have them explain about them *
What do you want to improve or learn during Vitality volunteering program? *
Be specific: it supports us to understand your expectations concerning your learning and it supports yourself in approaching the project with a pro-active attitude and fulfill those expectations
Which of your talents/knowledge/experiences could you share with Associazione Vagamondo? *
Select the boxes that apply to you *
Required
Explain more in details *
How do you plan to use what you learn in the project when you go back home? *
Have you participated in any project supported by European funds before? If yes, tell us about them *
(e.g. Youth Exchanges, Training Courses, Internships, European volunteering, etc.)
How did you find out about this project? *
Facebook/web page/newsletter of my sending organization, on a youth mobility portal, in a youth centre, from my friend John Brown; Mary Smith recommended it to me etc.
In case you have already a Support Organization from your country write the name here. *
If you got the information about the project from any entity (face to face, through newsletter, through a social media post...), write the name of the entity down here
Do you have a car driving licence? *
Is there anything else that you want to add or suggest? (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: https://vitalityvolunteeri.wixsite.com/vitality and the conditions of volunteering of Vitality European Solidarity Corps program and I know and accept the conditions of participation. I commit myself to take part for the full duration of the activity and to participate in the whole evaluation process; in case I will break this commitment I will renounce to the travel reimbursement. 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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