Do_cument it Yourself Application form

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Before applying, make sure you have read the Infopack: https://bit.ly/DIY_INFOPACK

Email *

Name *

Surname *

How would you like to be called during the program? *

Gender *

Female

Male

Non-Binary

Prefer not to say

Other:

What pronouns do you use?
*

Date of Birth

YYYY

Partner Organization you are connected with:

Country of Residence *

Austria

Georgia

Germany

Greece

Italy

Latvia

Poland

Spain

Nationality *

Phone Number *

Link to your FB profile, in case you want to share with us
*

Level of English *

Basic

Intermediate

Advanced

Fluent

Other:

Do you have any special needs (regarding your food diet, allergies, medical conditions, physical limitations, or anything you feel like the organisers must know of)? *

Contact person in case of emergency (please include name and phone number) *

Describe your experience in the field of Youth Work (working with young people).
*

What is your experience in Video production (filming, editing, promoting, etc.)?
*

Why do you want to participate in the training?
*

How do you wish to contribute to 'Do_cument it Yourself'?

How do you intend to apply the learnings acquired during this training course in your daily work and life?
*

For what organisation/association/social initiative will you create a video for during the Local Action Phase?

Have you already contacted the organisation/association/social initiative for which you want to create a video?
*

Yes

Not yet

Other:

Share a song that everytime you hear it, it brings you energy!
*

Where did you hear about this training?
*

My sending organization

SALTO Youth

Facebook groups

A friend recommended the project to me

Other:

Anything else you would like to add:

Mark the boxes that apply to you.

The Erasmus+ programme endorses the mobility of youth with fewer opportunities, and we want to give more chances to people facing or that have faced troubles in life. For this reason, we are asking you to answer the following questions. The answers are remaining strictly confidential.

I have a disability (physical, mental, intellectual or sensory impairment)

I face economic barriers (long-term unemployment, low income, homelessness, dependence on the social welfare system etc.)

I face barriers linked to discrimination (ethnicity, sexual orientation, religion, disability, etc., or intersectional factors)

I face culture-related barriers (having a refugee status, being an immigrant, belonging to an ethnic minority etc.)

I face geographical barriers (living in remote or rural areas etc.)

I face barriers linked to the education system (early school-leavers, NEETs, low qualified adults etc.)

Other:

I declare that I have read, understood and agreed with the Conditions of my participation on this Training Course.
*

Yes

GDPR consent: By signing this document I declare that I provided information that is correct. Additionally, I grant Roes Cooperativa, who is the Data Controller, the right to process the data I provided it within the present form, in accordance with the GDPR for participating in Roes Cooperativa related activities and keep me informed about news and updates.
*

I consent

Send me a copy of my responses.

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