Solidarity Academy Baltic Sea Youth Dialogue
Gdansk, Kaliningrad (13th-20th November 2016)
Sign in to Google to save your progress. Learn more
Name *
Surname *
Date of Birth *
MM
/
DD
/
YYYY
Sex
Clear selection
Nationality / Citizenship *
E-mail address *
Home address *
Phone number *
Occupation
Membership (school, university, organization, other)
Describe your motivation for participation in the Solidarity Academy. *
What are your expectations of the project? *
Please, describe your journalistic experience and paste links to your published articles/TV-programes, broadcasts etc. NOTE: There’s also a possibility to send your text/texts/programes/broadcasts via e-mail academy@solidarity.org.pl *
Language competences: English - working language of the Solidarity Academy (According to the Common European Framework of Reference for Languages) *
Language competences: Mother tongue *
Language competences: other languages
Choose the working group (for the final project) *
Choose substitution group: *
Special needs (diet etc.)
Where did you get information about Solidarity Academy from? *
Contact data to person that needs to be informed in case of emergency (name and surname, address, phone number). *
I declare my participation in the entire project. In the case of the resignation after my entry has been accepted, I will inform the organizers no later than 20th October 2016 *
Required
I have read the programme of the project and I agree to actively participate in all activities. *
I hereby authorize you to process my personal data included in my application for the needs of the recruitment process (in accordance with the Personnel Protection Act of 29.08.1997 no 133 position 883). *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms