Application Form IFLRY Belarus Seminar October 2013
Seminar "Towards a Local Youth Agenda", Vilnius, October 24-27 2013

Conditions for participation:

The participation fee is 10 Euros which will be deducted from the travel refund.
IFLRY will reimburse travel costs for a second class train-ticket (return) from Belarus to Vilnius.
IFLRY does not accept liability or responsibility for damages or injuries. Responsibility is to the participants of the training.

ATTENTION! PLEASE MAKE SURE TO AKNOWLEDGE THE FOLLOWING POINTS!

Please fill the form in latin characters!! The three last questions (Motivation, Events, Practical Usage) can be filled in cyrillics if needed).

Please read the questions thourougly and make sure that your answers are correct! Special attention should be payed to the VISA-Section. In case you do not fill this part correctly, you might not be able to attend the event even after your participation has been confirmed. IFLRY does not take any responsibility for incorrect information provided by applicants.

In case you have questions you can always contact us through belarus@iflry.org.

Name of organization?
If you are not member of any organization, leave this blank!
Phone number of contact person or recommender
Contact person or recommender *
If you are not member of any organization, please state where you received information about this event!
E-Mail address of contact person or recommender
Last name of applicant *
Put your last name as in passport!
First name of applicant *
Put your first name as in passport!
Age *
State your age!
Sex *
State your sex!
Mobile phone number *
Enter your mobile phone number!
Personal E-Mail Address *
Enter your E-Mail adress!
Language knowledge *
Check the options that are true for you!
Required
Roommate
If you want a specific roommate please provide the name!
Special diet needs
Please state in case you are vegetarian or vegan or if you have allergies!
Visa *
Do you need a Visa?
Passport number
Only state if you need Visa!
Date of birth
Only state if you need Visa!
MM
/
DD
/
YYYY
Place of birth
Only state if you need Visa!
Passport date of issue
Only state if you need Visa!
MM
/
DD
/
YYYY
Passport date of expiry
Only state if you need Visa!
MM
/
DD
/
YYYY
Date and time of arrival
Please state your date and approximate time of arrival!
MM
/
DD
/
YYYY
Time
:
Date and time of departure
Please state your date and approximate time of departure!
MM
/
DD
/
YYYY
Time
:
Motivation to attend *
Please describe briefly your motivation to attend this event! Please spend special attention to your experience in local youth work and/ or experience in local election campaigns! (Can be filled in Russian, max. 600 characters)
Participation in older events *
Please state events of IFLRY or other international organizations you attended in the last 12 months! (Can be filled in Russian)
Practical usage *
Please describe how you believe this seminar can support, develop and strengthen your own work and the work of your organization (if applicable) and how you plan to share the results with other activists or within your organization (if applicable)? (Can be filled in Russian, max. 200 characters)
Submit
Never submit passwords through Google Forms.
This form was created inside of IFLRY. Report Abuse