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Application form for the TC DigEntStartUps
The training course full title is: “New Digital Enterprise Start-ups” (The training course is one activity of the project “Independent Young Women in Digital Entrepreneurship Era”). The training course will be organised in Zadar, Croatia from 30th October (arrival in the afternoon) to 7th November (departure in the morning after the breakfast) 2018.
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Name and Surname *
Date of Birth *
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YYYY
Gender *
Home address *
City *
Phone *
E - mail *
Emergency contact person *
Name // phone number
Passport or ID number *
Passport or ID number *
Do you have any special needs? If yes, which ones? *
Are you Vegetarian, Vegan, have food allergies, don't eat pork, etc. – please be specific? *
Do you represent any "sending organisation"? If yes, please write their name, telephone and e-mail contacts and website if available. *
What is your role and your tasks in the organization? *
What is your motivation/experience in working with inclusion, intercultural learning youth work in general and with young women and gender groups in specific? *
What is your motivation/experience in the digital entrepreneurship (youth work) activities? *
What is your motivation/experience in Erasmus+ Youth in Action and European level cooperation? *
Travel costs - Estimated travel costs? *
What is your envisioned way of transport (bus, train, plane…)? *
What is your Expected Arrival time to Zadar? *
What is your Expected Departure time from Zadar? *
Herewith I confirm the use of my personal data on the participants list. *
I confirm that organisers can take photos / videos / quotes of mine for the cause of project promotion, reporting, documenting, etc. *
I will be able to take part in the whole duration of the training course (starting from 30th October 2018 evening till 7th November 2018 morning). *
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