APPLICATION FORM
C'mon Pisa Light My Fire
NAME *
Your answer
SURNAME *
Your answer
NATIONALITY *
Your answer
AEGEE LOCAL *
Your answer
GENDER *
DATE OF BIRTH *
MM
/
DD
/
YYYY
E-mail Address *
Your answer
DO YOU NEED A VISA? *
DO YOU HAVE SPECIAL NEEDS FOR FOOD?
If you chosed "other", specify. Please, be complete in this form, any further communication could not be taken in consideration.
Your answer
DO YOU HAVE ANY OTHER SPECIAL NEED?
Your answer
How long have you been in AEGEE? *
MOTIVATION LETTER (Same as intranet) *
Your answer
WHAT IS YOUR LIFE PHILOSOPHY? *
Your answer
Tell us about the best experience that you had during a travel or a holiday. *
Your answer
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