Application form - Gamifica(c)tion in Youth Work
Through this application you are applying to participate in the "Gamifica(c)tion in Youth Work" training course that will take place in Czech Republic. Read carefully all the questions and take your time to answer them in detail.


By filling this application form you are applying to take part in the 2 phases of the project:

-1st Phase: Training Course [ 26th February - 6th March 2019 (including travel days)] ; Ivancice, Czech Republic

-2nd Phase: Local Action Phase [March, April and May 2019] ; each partner country


Before applying, read carefully our info-pack- and, in case you have any questions, write us at mfortesureda@gmail.com.

This application form has 3 parts:

1. Personal details
2. Motivation and Desired Outcomes
3. Extra questions and Declaration

Please note that the selection is merely based on the second part of the application form: Motivation and Desired Outcomes. We do not make selection based on other details submitted in this form such as gender, race, ethnicity, sexual orientation or religion. We treat all data confidentially. Your data will be only used for (1) communication with you about the selection, (2) communication with the partner organizations about your selection and (3) reporting to the NA.

Enjoy the process!
Gamifica(c)tion in Youth Work Team

Country of residence *
First name *
Your answer
Surname *
Your answer
Gender *
Date of birth *
MM
/
DD
/
YYYY
Age at the beginning of the training course *
Your answer
Nationality *
Your answer
ID/Passport number *
Your answer
E-mail *
Your answer
Phone number *
With international code (e.g. +36 30 111 1111)
Your answer
Full address *
Street, number, zip code, city, country
Your answer
Occupation/Profession *
Your answer
Level of English *
Link to Facebook profile
We will use this link in case you are selected to add you in the private Facebook group of the training.
Your answer
Where did you find out about this Training Course?
Your answer
What diet do you want to have during the training days? *
Bear in mind that the diet you chose now will be the one that you will be eating the whole week. For example: if you chose to eat meat & fish, then you will not be allowed to take food that is cooked for vegans.
Do you have any health problems, disabilities, allergies or health limitations? *
Your answer
Contact person in case of emergency *
Full name, Address, Phone number, Relationship to you
Your answer
What fewer opportunities are you facing? *
In the link https://www.salto-youth.net/tools/otlas-partner-finding/help/young-people-with-fewer-opportunities/ you'll find a specific description of the types of fewer opportunities that the European Comission consider. Read it carefully as there are some spots reserved for participants with fewer opportunities.
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