Career in Action
 Cyprus
05-13 March 2022(Arrival 04/03-Departure 14/03 )
Youth Exchange
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Name *
Surname *
Date of Birth *
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Address of Residence *
Country of Residence *
Nationality *
Gender *
Email Address *
Telephone number (with country code) *
Contact person in case of Emergency *
Please provide the full name of a person that we can contact with in case of emergency as well as a phone number and a valid e-mail address
Are you Fully Vaccinated? *
Did you had Covid-19 the last 6 months? *
If Yes When?
MM
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DD
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YYYY
Sending Organisation *
Do you have a special diet? *
Vegetarian, vegan, food allergies, do you eat fish, etc?
What is your present health condition? *
If you have any health situations the we need to take in account during the project, please descried including the use of medication. (allergies, health problems etc)
Do you have medical insurance valid in Europe? *
What is your current status? *
Student, Unemployed, Employed , free lancer etc.
Educational Background *
Have you participated in any other Erasmus+ project? If yes give us more details. *
What is your motivation to participate in this project? *
How can you contribute in this project? ( take photos, video editing, know energizers, first aid, organizational skills if any etc) *
Do you belong in fewer opportunities category? *
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