activEco - Social Entrepreneurship Application 2016

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Apply by March 31. For more information, email info@ecovisio.org.

Personal Data

First name *

Last name *

Date of birth *

YYYY

Resident city / town / village *

(where you live right now)

Home city / town / village *

(where you were born and grew up)

E-mail *

Skype contact

(If you have one- we usually use Skype for interviews)

Сell phone number *

Please introduce yourself. Tell us about yourself, your life and your accomplishments. *

Please tell us about your life in the style of a narrated CV. Highlight initiatives you started or were involved in, your passions and interests, your creative side or anything that would help to get to know you better.You can also use this space to tell us about the schools and universities you have attended or about jobs you have held. Please write between 300 − 500 words.

Describe your language skills using "beginner, middle, fluent, native speaker." *

For example: Romanian - native, Russian - fluent, English - middle. *Please note that for our program it is necessary to have at least a "middle" level of English.

Your activism and motivation

Please keep your answers clear and short.

What issues are you passionate about, and what inspires you to work on these particular issues? *

Please tell us about an issue or issues that you are truly passionate about in our society and that you are currently working on or would like to work on in the future.Tell us about what it is that inspires you to work on this issue. Please write between 150 − 200 words.

Do you have your own project/business/initiative idea which you would like to start developing with the support of activEco? Or would you like to develop a project which we propose? *

If you have your own idea, please elaborate on its status, and whether you have already tried to implement your idea, or whether it is still in the ideation phase. If you have begun any kind of implementation, please describe what you have already done, and where you anticipate needing help to continue successfully.

Why do you want to be a participant of the activEco Social Entrepreneurship program? What do you want to learn? What can others learn from you? *

Please describe what "Social Entrepreneurship" means to you, and give a few examples of organisations you know of which fit your description.

(This question is optional, but helps us develop our program more specifically to meet participant needs)

Organisational questions

How did you find out about the activEco Social Entrepreneurship Program? *

(If from a poster - where exactly? Please specify from which network or person, Facebook, e-mail, etc. from which you have gotten the information)

Are you committed to complete participation? *

YES! - If I am selected for the activEco program, I commit myself to participation in all the program phases

NO! - I just want to take part in the Impulse Seminar, but don't want to implement a project

DON'T KNOW - I really want to participate in the whole program, but I don't know yet if I have time

Please recommend to us other people that you think would be good participants in our program.

This can be a person you would like to form a team with for a project, or with whom you want to collaborate on a particular idea.

Data Security *

Hereby I agree that EcoVisio Association and MitOst Association are allowed to store my data for the administration of the program activEco and Theodor-Heuss-Kolleg alumni contact if I am selected. The personal data will not be used for any other purposes.

Required

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