-Bergolo Digitale - Training course
Dear applicant, by filling in this form you are applying for the training course  "Bergolo Digitale" that will happen from 27th April till 5th May 2022 in Bergolo, Italy.

27/04 Arrival Participants

28/04 - 05/05 Program

6/05 Departures

By filling this form you declare that you have fully read and understood the content and the conditions of the web page of the project: https://bergolodigitale.wixsite.com/home/trainingcourse

With your application, you commit yourself to take part in the 3 phases of the project: preparation, training course and post-training part.

We will choose as participants the applicants that will look to us more in line with the aim and method of the project, the more motivated and pro-active. We recommend you to dedicate enough time and care to complete the application form fully.
Sign in to Google to save your progress. Learn more
Are you ready to dig in the digitalization of cultural heritage recreating the process of it?
Country of residence: *
The country where you are officially living, in case you would need to travel to Italy from another country, mention it in the comment section at the bottom of this application form
First Name *
Surname *
Name you want to be called during the training : *
It will be printed on your name tag
Email *
We will communicate with you through this contact
Date of birth: *
MM
/
DD
/
YYYY
Place of birth *
Write the name of the city and of the country
Nationality *
How do you identify yourself concerning your gender? *
Address of residence 1 *
write the name of the STREET and the NUMBER
Address of residence 2 *
write the ZIP CODE and the name of the CITY
Mobile number *
national prefix + number
What is your current occupation or profession? *
What is your level of English? *
Do you have any physical limitation? *
If yes, please explain what it is and how it is limiting you (what you can do and what you can't do because of it).
Choose your eating option *
Do you have any allergy? *
ex. lactose free, gluten free, allergy to mushrooms, nuts or other food, allergy to bees' bites... Keep in mind that for us taking care of your diet requires extra efforts. If you are curious to try a different diet then your usual one, do so in another occasion
Where do you prefer to be accommodated? *
Choose your option for the whole training course
Are you fully vaccinated against Covid-19? *
In case you got vaccinated, when did you take the second dose?
Do you need a negative Covid test to enter Italy? *
Do you need a negative Covid test in order to be allowed to enter your country after the exchange? *
Do you take any regular medication? *
If yes explain what medication
Do you have a medical insurance valid in Italy? *
ex. the European Health Card
Contact in case of emergency *
Write the name, surname, phone number and what relation this person has with you
Is the contribution (according to your country as written in the website) a real obstacle for you to participate in this training? If yes explain why *
Do you consider that in your life you face some of the following obstacles: *
Is the contribution of 50€ per participant a real obstacle for you to participate in this exchange? If yes explain why *
Consider the money you will save by being in the Youth exchange for 9 days. On this web page you can check the food overage minimum price per day in your city and country https://www.numbeo.com/food-prices/
Are you a youth worker? If yes, in which organisation? *
Do you organise regular activities with young people in the target group 13-30 (ex every day, sometimes in weeks, once a month, every year in summer etc.)? What kind of activities? *
What is that calls you to apply for this project? Why do you want to participate? *
Do you have previous experiences in non-formal education? Ex. participating or organizing workshops for young people? Share about them, and about their methodology *
Do you have previous experiences in working with digitalization or cultural heritage as educational tool? *
What do you want to improve or learn during Bergolo Digitale on training course? *
Be specific: it support us to understand your expectations and it support yourself in approaching the project with a pro-active attitude and fulfill those expectations (a training course is an active and creative experience, don't come only as a receiver!)
How do you plan to use what you learn in the project when you go back home? *
In connection with the previous answer, how do you plan to use it specific in your job/work as youth worker? *
Have you participated in any project supported by European funds before? If yes, tell us about them *
(e.g. Youth Exchanges, Training Courses, European volunteering, etc.)
How did you find out about this project? *
Facebook/web page/newsletter of my sending organization, on a youth mobility portal, in a youth centre, from my friend John Brown; Mary Smith recommended it to me etc.
Is there anything else that you want to add? (optional) *
question *
I hereby declare that all the above information are true and correct to the best of my knowledge. By submitting this application I confirm that I have read and understood the information written in the web page of the project: https://bergolodigitale.wixsite.com/home/about-1 and the conditions of reimbursement of Bergolo Digitale and I know and accept the conditions of participation. I commit myself to take part for the full duration of the activity: preparation, training course and post-training phase and to participate in the whole evaluation process; in case I will break this commitment I will renounce to the travel reimbursement. I am aware that obtaining health and full travel insurance is my own initiative and at my own expenses. I understand that the information I provided on my special needs does not remove my own personal responsibility for ensuring my own health. I understand and agree that the project may be photographed/filmed and used for publications or websites and social networks to provide visibility to the project, the organizations and the public bodies involved in it.
question *
I hereby declare that I understand and I commit to the safety rules written on the web page of the project: https://bergolodigitale.wixsite.com/home/about-1 I understand that if I will not apply myself those safety rules the organizers will be obliged by law to inform the local authorities and, in case I will break the rules again, I will have to leave immediately the training course.I understand as well that the common safety rules don't remove my own self-responsibility and I understand that the risk of contagions, despite being reduced to the minimum, still exist. I commit myself not to take any legal action towards the organizers, the coordinating organization Associazione Vagamondo or the partner organizations in case I will get infected by the COVID-19 during the training or while travelling to/from the training.
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