Choise is yours! - Application Form
Erasmus+ Youth Exchange

Venue: Milcoveni, Romania
Date: 23-30 October, 2017
Age Limit: 14-19 y.o.
Number of participants: 10 pers. + 2 group leaders /country

Costs: Accomodation and food are covered by Erasmus+ Programme,
Travel costs are covered up to 180€/pers./round way, according to the rules of Erasmus+ Programme.

Participation fee: 5.000HUF

Application deadline: 1st October, 2017

For more info, please contact us at info@egyutthato.eu or visit our webpage: egyutthato.eu

Name *
Your answer
Gender *
Date of birth *
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DD
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YYYY
E-mail address *
Your answer
Phone nr. *
Your answer
Place of residence *
The name of the city/town/village
Your answer
What are you working/studying? *
Your answer
Level of English *
Have you ever took part in Erasmus+/YiA projects? *
Your answer
What is your motivation for taking part in this project? *
Your answer
Eating habits *
Do you have any allergy or health problem? *
Your answer
Declaration *
Please, read all the declarations before checking.
Required
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