Charge youth future - application form

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Great to see your interest in 'Charge youth future' basic synergy YE!

The program will happen on June 1-8, 2022 in Ravnogor, Bulgaria.

Please fill in the registration form carefully, so that we can provide you with best experience.
More info about the program here: https://synergybulgaria.com/chargeyouthfuture.

Best,
Synergy Bulgaria team.

Name & surname *

Country of residence *

What role are you applying for? *

Participant

Group leader

How do you identify yourself regarding your gender? *

Female

Male

Prefer not to say

Other:

Date of birth *

YYYY

Mobile number (national prefix + number) *

What is your level of English? *

elementary

intermediate

advanced

fluent

What reasons bring you to the project? *

What do you want to improve or learn regarding your personal development during 'Charge youth future'? *

Were you recommended to attend this youth exchange? *

No.

Yes (if yes, please add the name of the person who recommended in 'Other')

Other:

Are there any challenges/obstacles you experience in life at the moment? *

Note: Young people with fewer opportunities will be given a priority in the selection process.

Social obstacles (people facing discrimination because of gender, age, ethnicity, religion, sexual orientation; people coming from broken families or orphans)

Economic obstacles (NEETs, unemployed, doing unqualified or precarious jobs, or facing current financial struggles)

Cultural differences (migrants, refugees, people facing racism and xenophobia)

None

Other:

Required

Are you currently holding European Health Insurance? *

Having a valid health insurance during the whole duration of the youth exchange is mandatory.

Yes.

No, but I declare to get one before the start of the youth exchange.

Declaration *

By submitting this application form I declare that all the above information is true and correct to the best of my knowledge. I confirm that I have read and understood all project-related information and the conditions of reimbursement. I commit myself to take part in all project stages: preparation, international program and follow-up activities (incl. evaluation process). In case I break this commitment I will renounce my travel reimbursement. I am aware that obtaining a health insurance is my own responsibility and at my own expense.

I agree

Required

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