Application form_YOUth Connect_Audiovisualize yourself
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Project you are applying for: *
Name *
Surname *
Gender *
Date of birth *
MM
/
DD
/
YYYY
Place of birth *
Nationality *
Address of Residence (City + Country) *
If you are applying for a Youth Exchange: Are you applying as a participant or as a group leader? *
Phone number *
E-mail *
Emergency Contact Person (Name and surname) *
Emergency Contact Number *
Study / Occupation *
Why do you want to take part in this project? *
Where did you find this project? *
Previous Erasmus+ experiences? *
Do you follow a specific diet? *
Required
Allergies *
Do you face any of the following obstacles? *
Required
If you marked some of the boxes in the previous section, please specify:
Level of English *
I agree that the provided data are used for the purposes of this project and I acknowledge that the information from this application are accessible to the project team and to the representative of a partner organisation from my country.
*
I hereby declare that all the above information are true and correct to the best of my knowledge. By submitting this application I, the undersigned, confirm that I have read and understood the Infopack of the project and the conditions of reimbursement and I know and accept the conditions of participation.
*
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