HOME IS... application form
This is the application form for the youth exchange learning program called “Home is…”.
It is happening in between 2-11 July 2019, in Ravgonor, Bulgaria.

We only consider applications in which all fields are filled. Make sure that you read the info-pack in details and you understand that you are applying for an intense personal development learning program.

http://smokinya.com/2019/04/home-is-youth-learning-program-in-bulgaria/

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Email address *
Name *
Your answer
How do you want to be called during the program? *
Your answer
Where did you find out about the program? *
Where specifically? i.e. which website or FB page
Your answer
Date of birth *
MM
/
DD
/
YYYY
Gender *
Country of residence: * *
* (from where you have a residency card, job / study contract for long term = more than half year)
Citizenship: * *
* (from where you have a ID and or passport)
Your phone number *
Your answer
What is your level of English? *
Name and phone number of the person we can contact in case of emergency *
Your answer
Are you applying to be a participant or a team member (assistant)? *
If a team member: Where and when have you done your basic synergy training / event wise training? Who was your trainer?
Your answer
What is your personal motivation to take part in this youth program? *
Your answer
How are you connected to the topic of European mobility / immobility? *
Please, explain.
Your answer
Describe 3 situations from your life which are challenging for you. *
Please, elaborate.
Your answer
How do you usually react in the above mentioned situations? *
Please, elaborate.
Your answer
What is it that you specifically want to learn in this program? *
Please, elaborate.
Your answer
How do you plan to contribute to the success of the program? *
Please, elaborate.
Your answer
Do you have any special food diet or allergy? *
Please, elaborate.
Your answer
By submitting this application form I confirm that I have read the infoletter and I am aware that this a personal development program which requires my full participation. *
Please, elaborate.
Required
I agree that the provided data are used for the purposes of this project and I acknowledge that the information from this application are accessible to the project team and to the representative of a partner organisation from my country. *
Without having your permission to use the data from the application, we are not able to process the data and proceed to the selection of participants. Data from this application will be kept for maximum 10 years. You can cancel your confirmation of data use at any time.
Required
I understood the conditions of reimbursement, in case of being selected I will pre-finance my travel, and provide all my original tickets and necessary invoices to Smokinya Foundation. I am aware that my travel expenses only get reimbursed after the exchange program, and only if all my original tickets arrive to Smokinya Foundation. *
Please, elaborate.
Required
A copy of your responses will be emailed to the address you provided.
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