Activism Explosion
Erasmus+: Youth, Key Action 1: Training Course
Venue: Leszno, Poland
Dates: 8-16 September 2019
APPLICANT INFORMATION
Name *
Your answer
Surname *
Your answer
Gender *
Date of birth *
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Age at the time of the project: *
Your answer
Citizenship *
Full address *
Your answer
Current country of residence *
Your answer
Region: *
Email address *
Your answer
Mobile phone number *
Your answer
Link to your social media profile *
Your answer
Passport expiry date (if you do not own a passport, please do NOT apply for this project) *
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Do you have any special needs or requirements that the host organization should know about? (E.g.mobility, medical needs, allergies, dietary restrictions such as vegan) *
Your answer
Please tell us if you find yourself in any of the following categories:
Please tell us if you find yourself in any of the categories listed above (please include if you are a student): *
Your answer
Language abilities in English *
A1 (Beginner)
A2 (Elementary)
B1 (Intermediate)
B2 (Upper-Intermediate)
C1 (Advanced)
C2 (Proficiency)
Listening
Speaking
Reading
Writing
ORGANIZATION INFORMATION: Please tell us about your ORGANIZATION, i.e., the (non-profit non-governmental) organization that you actively work/volunteer for, IF ANY). Please leave BLANK (empty) if you are NOT active in any non-profit non-governmental body]:
Name of organization
Your answer
Address
Your answer
Website
Your answer
What are your roles (volunteer, youth worker, board member, director ...) and your tasks? Please tell us how long you have been involved in youth work?
Your answer
Please describe your organization briefly. What are the objectives, main activities and target group of your organization?
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