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LEVEL UP - Application Form
Hello and welcome to the first step to LEVEL UP!

We are excited for your interest in our project! Before you start this application form, make sure that you carefully read the infoletter. If you have any questions, feel free to contact us at

LEVEL UP team,
Krisztina & Anna

First Part
In this part of the application form the questions are focusing on your personal details.
Name *
Your answer
Surname *
Your answer
Date of birth *
Your answer
Gender *
Your answer
Name you want to be called in the event *
Your answer
Country of Residency *
Your answer
Organization *
E-mail address *
Your answer
Phone number (please add the prefix of the country code) *
Your answer
Level of English *
Food requirements *
Allergies and intolerances *
Please specify if you have any allergies that we should be aware of.
Your answer
Do you have any physical limitations? *
If the answer is yes, please write them down shortly.
Your answer
Contact person in case of emergency *
Please write the name, phone number, e-mail address, relationship to you.
Your answer
Do you have a medical insurance valid in the Netherlands? *
Second Part
In this part of the application form we are interested to see your vision and motivation regarding our project.
What is your motivation to join LEVEL UP? *
We are curious why you would be happy to be here.
Your answer
How would you like to contribute to this project? *
Big part of the project will be done by you, so we are looking forward to be inspired by you.
Your answer
What do you want to get out of this project? *
Knowledge, skills, experience, values or something else that you would like to take home with you.
Your answer
How would you share your learning from LEVEL UP back home? *
Your answer
Is there anything else you would like to share with us?
Your answer
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