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Atelier Chiang Mai 2016
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Application Form
Personal Details
First Name
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Last name
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Gender
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Date of Birth
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City/Country of Birth:
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Continent
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Nationality/Nationalities
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Organisation I will represent (if applicable):
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Does your organization have an EFFE label?
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Organisation's address (street & house number)
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Organisation's ZIP code & City:
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Organisation's E-mail:
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Organisation's website/blog:
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Private address (street/house number, ZIP code, city, country):
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Private mobile phone number:
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Private E-mail:
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Private website/blog:
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1. What is your personal working experience in a festival?
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2. What is your educational background?
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3. What is your current function?
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4. Have you applied for one of the previous Atelier editions?
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5. How did you first hear about the Atelier?
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6. Is there a specific organisation delegating you to take part in the Atelier?
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7. Is there a specific organisation you will represent at the Atelier?
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8. Is your participation supported financially by any specific organisation?
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9. Name of the organisation which will financially support you:
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10. Please give a brief description of the financial support you would receive:
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11. The financial support by the support body described is:
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12. Financial support depending on:
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Motivation Letter
13. This motivation letter will also be used if you are selected to inform other participants and mentors about you.
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14. Subscription fee
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Cancellation Policy
15. Confirmation, (date and name)
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