Youth exchange 29.05 - 09.06.2024 Poland

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This is an application form for those who would like to apply for participation in youth exchange on topic of mental health in Poland.

We invite to apply young Ukrainians between 17 and 25 y.o.

Email *

Last name, first name
*

(as in the foreign passport)

Gender
*

Date of birth
*

YYYY

Foreign passport series, number
*

Address of residence now
*

Which city you will be traveling from
*

Your phone number
*

Where do you study/work?
*

How many times have you participated in Erasmus+ projects?
*

Write the level of knowledge of a foreign language
*

(English is required, other languages are optional)

Describe your experience of participation in previous projects
*

How do you connect with the topic of the project? *

Your personal or professional motivation for participating in this project. Why should you participate in the youth exchange?
*

Contact person in case of emergency
*

(name, phone number, email)

Links to social networks
*

Do you have special needs?
*

(disability, allergies, dietary requirements etc.)

Anything else you would like to inform us about

I'm informed that I have to pay my ticket by my own, and that i'll be reimbursed later. I agree with that
*

Yes

I hereby confirm that all information in this application form is true
*

Yes

I agree to the processing of personal data
*

Yes

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