Erasmus+ Participation Form (ICMJH)
!!! Účastník zařazený do projektu uhradí příspěvek 500 Kč na činnost organizace. Příspěvek je v případě odstoupení účastníka NEVRATNÝ !!!

PLEASE, DON'T FORGET TO WRITE DOWN THE NAME OF THE PROJECT!

Please, write down the name of the project you're applying to: *
Your answer
Name of the country the project is going to take place in: *
Your answer
Name *
Your answer
Surname *
Your answer
Facebook Account *
Your answer
E-mail Address *
Your answer
City of Residence *
Your answer
Your Age *
Your answer
Date of Birth *
MM
/
DD
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YYYY
Gender *
Are you a vegetarian? *
Allergies / Special diets / Special needs and requirements *
Your answer
What is your motivation? What reason do you have to participate in this project? *
Your answer
(Write just a number) How many times have you participated in an Erasmus+ project? (Leave blank if it is going to be your first project) *
Your answer
If you already have an experience when it comes to the topic of the project itself, you can describe it here. (Optional)
Your answer
Phone Number (including +420)
Your answer
Are you applying as a Group Leader? (It would be required to communicate with partners concerning some local transport, write down the list of expenses of all the participants and to send us participants' travel tickets, 500 CZK donation is not needed.) *
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