MIND, BODY & MESSAGE
Welcome to the application form of Mind, Body & Message - tools to increase youth worker's impact.
BY FILLING IN THIS FORM YOU APPLY FOR ALL THE PHASES OF THE PROJECT.
We keep your personal data and your answers private, it won't be shared with third parties in any case.
Note that the selection is based on your answers you give, be specific and brief. General answers are not supporting the selection process.
In case you have any difficulties or questions regarding the project , do not hesitate to reach us on mbm.qualitimpact@gmail.com
What is your full name? *
Your answer
What is your family name? *
Your answer
What is your firs name? *
Your answer
How you want to be called during the training?(Nickname) *
Your answer
What is your gender?
When were you born? *
MM
/
DD
/
YYYY
Where are you from? *
Your answer
What is your ID or Passport number? *
Your answer
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