International Laboratories of Movement and Dance “Eco Campus”
In the frame of “Change /project” and Unity MFT Festival in Sochaczew.

You are applying for the "International Laboratories of Movement and Dance “Eco Campus" that will take place in Sochaczew, Poland. Read carefully all the questions and take your time to answer them in detail.

Arrival day: 22th August 2019
Departure day: 1st September 2019

Before applying, we kindly ask you to read our info-pack which you can find here: https://drive.google.com/file/d/1QDXmzQlz8Nqy1nyOZz3qPbnpj2AsVpBm/view?ts=5d230479

In case you have any questions, ask us at address jana@cooltourova.cz or call Jana Ryšlavá: +420 737 485 778.

This application form consists of three parts:
1. Personal details
2. Experience, Motivation and Desired Outcomes
3. Extra questions and Declaration

This application deadline is the 5.8.2019.


Personal data protection information
The applicant agree to the processing of their data provided in the form below by Kulturní centrum Cooltour Ostrava z.ú., based in: Černá louka 3188, Ostrava, Czech republic for enrollment and participation in the workshops. The applicant was informed that the administrator of their personal data is Association Sztuka Nowa, all information on the processing of personal data and the rights I have been granted to individuals have been posted on sztukanowa.pl.
At the same time, the applicant was informed that in order to conduct this recruitment, personal data will be made available to entities cooperating with Association Sztuka Nowa, i.e. Platform Kulturális Egyesület, Priestor Sucasneho Tanca and Cooltour Ostrava.
I agree to give my name and surname when announcing the list of people who are enrolled for the workshop.
Providing personal data in this form is voluntary but necessary to participate in the workshops organized by Association Sztuka Nowa.

Country of residence *
First name
Your answer
Surname *
Your answer
Gender *
Date of birth *
MM
/
DD
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YYYY
Age at the beginning of the project  *
Your answer
Nationality *
Your answer
Full adress *
Street, number of the apartment, zip code, city, country
Your answer
E-mail adress *
Your answer
Phone number *
Including the international code
Your answer
Facebook profile link address
We will use this link in case you are selected to add you in the private Facebook group of the “Change /project”.
Your answer
Level of English *
Occupation/Profession *
Your answer
What is your experience in dancing and movement techniques? *
Your answer
My current physical health condition is *
Please describe your current physical health so that we can adapt the program accordingly. The laboratories foresee every day dancing classes and constant movement, therefore we need to know if you have any health problems that could affect your participation in this project. We wish to create an experience where everyone can be involved and this information will help us to adjust the program to your needs.
Your answer
What are your food preferences?
Your answer
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