In the Black: The Dutch Caribbean experience, Sunday 25 September

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In the Black: The Dutch Caribbean experience, Sunday 25 September – Saturday 1st October 2022

Location: Amsterdam, Netherland
Dates: 25 September – 1 October 2022
Project: MEL (Europe)

This 5-day course supports African heritage participants to explore social and political activism in the Netherlands drawing from the experiences of African Diaspora communities from Surinam and the Dutch Caribbean. Learning journeys will take participants into the 'field' to the physical spaces and community-based organisations of social and/or political significance to gain deeper insight into some of the key challenges and achievements of Dutch Caribbean communities in Amsterdam.

This project is co-funded by European Commission within Erasmus+ Programme.

Application deadline: extended to 12 september 2022

First Name *

Last Name *

Home Address *

Mobile Phone Number *

Email address *

Can you commit to the dates, travelling out on Sunday 17 July 2022 and returning to on Saturday 23 July 2022 on the flight that has been booked by the organisers? *

I am able to commit to the dates above

I am not able to commit to the dates above

I understand that I am responsible for my own insurance and that I will carry my European Health Card to the trip. *

I understand that Ubele will not hold ANY insurance on my behalf outside of Ubele's statutory responsibilities in relation to this training. I understand That I am liable for my own health insurance

I am responsible for organising and producing my own travel documents such as passport. I am responsible for my own health and safety. *

YES

I agree that my email address may be made available to other participants on this mobility. *

YES

I agree to included in a WhatsApp group created by Ubele for all participants in this training.

Yes

Clear selection

My WhatsApp number is: *

We will provide you with a 15k baggage allowance. If your baggage exceeds 15k you will need to purchase the additional weight. *

I am able to travel with 15k luggage only (no addidional fee)

I require 23kg and will pay the £100 supplement

I agree to engage with the group and learning during the 5-day course. *

I agree

I disagreeI disagree

Covid 19

Vaccine status

I am fully vaccinated

I am not fully vaccinated

In order to be fully vaccinated your Booster vaccination must have been taken. *

Date of Booster vaccination *

YYYY

Passport information

PLESE ANSWER THE FOLLOWING QUESTIONS USING ANSWERS AS THEY APPEAR ON YOUR PASSPORT OR TRAVEL DOCUMENTS. THIS INFORMATION WILL BE USED TO PURCHASE YOUR FLIGHT TICKET.

Title as it Appears on Passport *

Miss

Mrs

Required

First Name as it appears on your passport: *

Last Name as it appears on your passport: *

Date of birth (make sure you put in the right year): *

YYYY

Passport Number: *

Nationality as it appears on your passport: *

Date of expiry: *

YYYY

Please answer these questions to assist us in taking care of your individual needs *

Accommodation *

I will share a twin room

I would like a single room and agree to pay a £200 supplement

Please tell us about any dietary requirements which you may have. *

Do you have any allergies or medical conditions *

Yes I do

NO I don't

If yes please give further informationYour answer *

Please tell us about any special needs, learning or otherwise which you may have. Could you specify what support you require to make this course and accommodation more accessible for you? *

Finally, please provide us the details of a person we should contact in case of an emergency. These details should include their name, address and phone number. *

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