EDU-facilitation application form
Through this form you are applying to participate in the "EDU-facilitation" training course that will take place in Adamov, Czech Republic. Please read carefully all the questions and take time to answer them in detail. Before applying, read carefully our Info-pack. If you have any questions let us know at proactivenetworkcz@gmail.com

Timeframe of the project:
Arrival to the venue: 26 March 2022
Training days: 27 March - 3 April 2022
Departure from the venue: 4 April 2020

This application is consists of 3 parts:
1) Personal details
2) Motivation and Desired Outcomes
3) Extra questions and Declaration

Please take into consideration that selection is based on the second part of the application form: Motivation and Desired Outcomes. We do not make selection based on other details submitted in this form, and based on gender, race, ethnicity, sexual orientation or religion. We treat all data confidentially and will be only used for communication with you, partner organisations and the National Agency.

Enjoy the process!
EDU-facilitation Team
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🧍 PERSONAL DETAILS
First name *
Surname *
Date of birth *
MM
/
DD
/
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Gender *
Country of residence *
Nationality *
Email *
Phone number *
With international code (e.g. +36 30 111 1111)
Your Facebook profile
We will use this link in case you are selected to add you in the private Facebook group of the training.
Occupation / Profession *
Level of your English *
What diet do you want to have during the project? *
Do you have any health problems, disabilities, allergies or other health limitations? *
Contact person in case of emergency *
Full name, Address, Phone number, Relationship to you
Do you already have a health and travel insurance that covers you for the duration of the project? *
What fewer opportunities are you facing? *
In the link https://www.salto-youth.net/rc/inclusion/archive/archive-resources/inclusiongroups/inclusionoffenders/InclusionOffendersWho/ you'll find a specific description of the types of fewer opportunities that the European Comission consider.
❤️ MOTIVATION AND DESIRED OUTCOME
This is the most relevant part of your application, so if you want us to take your application into account make sure you put effort and time answering each question.
How much are you experienced in delivering Experiential Learning workshops and programmes? *
Not experienced
Very experienced
What is your experience and what does Experiential Learning mean for you? *
How  much are you experienced in Facilitation? *
Not experienced
Very experienced
What is your experience and what does Facilitation mean for you? *
Why do you want to participate in the EDU-facilitation Training Course? What do you want to get out of it? *
We want to know your real personal reason and motivation to participate in this project.
How do you intend to use Experiential Learning after this training as a facilitator? What is your next goal? *
Experiential Learning can be a powerful tool, what do you want to use this tool for?
Send us your video
If you want to make sure we will consider your application in detail, please send us a short 1 minute video with presentation of yourself and your motivation to attend the EDU-facilication Training Course. Write here the link to the video or send it to proactivenetworkcz@gmail.com or on my WhatsApp number +420 775 225 425 with your full name.
🦸 EXTRA QUESTIONS AND COMMITMENT
If you had a superpower, what would it be and why? *
What if...
Share a song, video or picture that represents you, but you aren't a part of it.
Link to find it:
Free space
You can state here any other information, you would like to share, which you consider relevant for the activity - studies, hobbies, civil society involvement, life experience, personal interests, you think is relevant to the activity and you would like to mention.
Anything else?
If you have any question, you can let us know at proactivenetworkcz@gmail.com.
Commitment
By submitting this application you acknowledge the following conditions that will apply if you are selected to take part in the "EDU-facilitation" Training Course:

1. I commit myself to prepare carefully for the training course, participate in the whole training course as well as the evaluation process and follow up activities.

2. I understand that the information I provided on my special needs does not remove my own personal responsibility for ensuring my own health. Arranging a health insurance for myself for the duration of the training course is my own responsibility.

3. I acknowledge that this Training Course is a learning process and not a holiday, therefore I am committed to work on my development and manage my own learning, supported by the trainers and peers.

4. I agree with the Participant's Contribution used to support the cofounding of the training course and with the conditions of travel expenses and reimbursement, as described in the infopack.

5. I understand that my personal details will be only used for the purposes of selection, communication with the partners and reporting towards the National Agency. I understand that all data is treated confidentially.
Agreement of conditions of participation
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