Culture for Local Development 2018 Application Form
First name *
Your answer
Surname *
Your answer
Date of birth *
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Sex (Male/Female) *
Nationality *
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E-mail *
Your answer
Phone number *
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Home address *
Your answer
Occupation *
Your answer
Affiliation (school, university, organization, other) *
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Describe your motivation for participation in "Culture for Local Development" project. *
Your answer
What are your expectations of the project? *
Your answer
What does culture for local development mean to you? *
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What could be a potential cultural activity in your local environment? *
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What idea for the project would you like to develop during the workshops? (max. 500 characters) *
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Please, describe your experience in local cultural projects and paste links to your projects, events, initiatives etc.
NOTE: There’s also a possibility to send your work via e-mail europe@ecs.gda.pl
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Language competences: English - working language of the project *
According to the Common European Framework of Reference for Languages
Language competences: Mother tongue
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Language competences: other languages
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Will you be able to arrange your accommodation independently in following destinations? *
Contact data to person that needs to be informed in case of emergency (name and surname, address, phone number) *
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Special needs (diet etc.)
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Where did you get information about the "Culture for local development" from? *
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I declare my participation in entire project (three days of workshops & Summer School). In the case of the resignation after my entry has been accepted, I will inform the organizers no later than 19th April 2018. *
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I hereby authorize you to process my personal data included in my application for the needs of the recruitment process (in accordance with the Personnel Protection Act of 29.08.1997 no 133 position 883). *
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