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The Perfect Match - Application form
Formulario per la candidatura allo scambio giovanile europeo - 16-23 Aprile 2014
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Name
Your answer
Surname
Your answer
Gender
Male
Female
Place of Birth
Your answer
Date of Birth
MM
/
DD
/
YYYY
Address
Your answer
Tel.
Your answer
E-mail
Your answer
Emergency Contact
Name, Surname and telephone
Your answer
Special Needs & Health Remarks
Anything about your health or needs to be taken into account during the exchange
Your answer
Past Experiences
Volunteering, youth exchanges/trainings...
Your answer
What is your motivation to take part to this exchange?:
Your answer
What expectations do you have from the exchange?
Your answer
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