Application form - /Name of the project/
 
Dear applicant, by filling in this form you are applying for the project "__" in __ from __th to __st __ 2024

By filling this form you declare that you have fully read and understood the content and the conditions of the info pack of the project: /put the link/

With your application, you commit yourself to take part in the whole duration of the project and in all phases of implementation: preparation, implementation and follow-up part.

We will choose applicants that will look to us more in line with the aim and method of the project, the more motivated and pro-active. We recommend you to dedicate enough time and care to complete the application form fully.

Email *
First name: *
Surname *
Date of birth: *
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Your age *
Nationality *
Your gender *
Country of residence *
Address of residence  *
Email contact: *
We will communicate with you through this contact
Mobile number *
What is your current occupation or profession? *
What is your level of English? *
Are you applying as Participant or Group Leader? *
What is that calls you to apply for this project? Why do you want to participate? *
Do you have previous experiences in non-formal education? Ex. participating or organizing workshops for young people based on non-formal education methods? Share about them *
What do you want to improve or learn during the project? *
Be specific: it support us to understand your expectations and it support yourself in approaching the project with a pro-active attitude and fulfill those expectations (this project is based on the methodology of learning through experience, don't participate only as a receiver!)
How would you like to use what you will learn in the project when you go back home? *
Have you participated in any project supported by European funds before? If yes, tell us about them and about the role you had in them *
(e.g. Youth Exchanges, Training Courses, European volunteering, Erasmusintern etc.)
Do you have any physical limitation? *
If yes, please explain what it is and how it is limiting you (what you can do and what you can't do because of it).
Do you have any allergy? *
ex. lactose free, gluten free, allergy to mushrooms, nuts or other food, allergy to bees' bites... Keep in mind that for the organizers taking care of your diet requires extra efforts.
Do you take any regular medication? *
If yes explain what medication
Do you have a medical insurance valid in the country where the project will happen? *
ex. the European Health Card
Contact in case of emergency *
Write the name, surname, phone number and what relation this person has with you
Do you consider that in your life you face some of the following obstacles: *
Required
Is New Wellness Education annual membership of 50€ a REAL obstacle for you to participate in this PROJECT? If yes explain why *
Consider the money you will save by being in the project. On the following web page you can check the food overage minimum price per day in your city and country https://www.numbeo.com/food-prices/
How did you find out about this project? *
Facebook/web page/newsletter of my sending organization; on a group related to international mobility (write the name), on a youth mobility portal (write the name), in a youth centre, from my friend John Brown; Mary Smith recommended it to me etc.
Is there anything else that you want to add? (optional)
I declare that I would like to subscribe to the New Wellness Education - APS newsletter to receive monthly updates on new international mobility opportunities and local events (subscription to the newsletter can be revoked at any time). *
Required
I hereby declare that all the above information are true and correct to the best of my knowledge. By submitting this application I confirm that I have read and understood the information written in the infopack of the project: /put the link/ the conditions of reimbursement and I know and accept the conditions of participation. I commit myself to take part for the full duration of the activity: preparation, youth exchange and follow-up phase and to participate in the whole evaluation process; in case I will break this commitment I will renounce to the travel reimbursement. I am aware that obtaining health and full travel insurance is my own initiative and at my own expenses. I understand that the information I provided on my special needs does not remove my own personal responsibility for ensuring my own health. I understand and agree that the project may be photographed/filmed and used for publications or websites and social networks to provide visibility to the project, the organizations and the public bodies involved in it. *
Required
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