Application form for a Long- Term Training Programme 2019-2020
Via Experientia - International Academy for Experiential Education
Main contact information
Date of Birth
Prefer not to say
Telephone number (include full international dialling codes)
What is your professional background and what is your current occupation?
What are your experiences in working (facilitating, leading) with groups and/or teams?
Your learning goals
What is your motivation to take part in this programme?
What are your personal goals in this programme? What do you want to learn?
Dietary preferences (vegetarian, lactose/gluten intolerant etc.)
Do you have any other comments?
DECLARATION: I agree that my personal data given in this application form will be held and treated for purposes connected to the contractual relation and to the obligations as per law in force and may be made available to other participants.
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