Poland Youth Exchange Application Form (February 2015)
Thank you for you interest in applying for the "Against Stereotypes, Together for Europe" Youth Exchange that will take place between 6th February to 14th February 2015, in Zakopane, Poland. There will be 10 participants from Romania and you have the chance to be among them for this challenging and full of opportunities project.

Please fill the current application form carefully, as it will be the main basis of the selection process. The Young Initiative Association is always seeking to offer equal opportunities to its candidates so if you meet the conditions do not hesitate to apply.

We wish you good luck! If you need any information we will gladly reply at the soonest possible opportunity.
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A. Personal Details
First Name *
Surname (Family Name) *
Sex *
Date of birth *
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/
DD
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Phone number *
Email *
Emergency contact person *
Person to contact in case of emergency (First Name/Last Name + relation with that person e.g. mother)
Phone number emergency contact person *
Person to contact in case of emergency
Email address emergency contact person *
Person to contact in case of emergency
Educational institution where you are currently studying
If applicable
Year of study
(i.e 11th Grade/Year or 3rd Year of high-school; if applicable)
City *
Personal page (optional)
Blog, Facebook/Twitter link
Have you read fully the conditions of participation published on our website regarding this youth exchange? *
It is extremely important to read carefully the call for applications on our website. Please study them before filling this application form.
Please check the following boxes where appropriate *
Required
Special Needs
Do you have any special needs related to diet, disability, medical condition, chronic disease?
B. Motivation & Experience
Have you participated in any other international projects before? *
What is your motivation for taking part in this youth exchange? *
What are your expectations for this project? What do you want/expect to learn? What are your learning needs? *
Relevant experience *
Please describe your past experience that is relevant to the project`s theme.
English level *
Speaking, listening, writing
Do you have any English qualifications? (optional)
I.e Cambridge certificated, TOEFL scores, IELTS score etc. These qualifications are NOT REQUIRED for the selection process.
How does this project reflect your professional aspirations and/or objectives? *
Where did you hear about the Young Initiative Association in general, and about this youth exchange, in particular? *
Do you want to add anything else? (optional)
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