Compos Mentis
Erasmus+: Youth, Key Action 1: three-phase Training Course (TC):
• 1. Training course: 24—31 March 2021,
• 2. Training course: to be announced
Venue of both TCs: Villa Re-Zone, Rabka Zdrój (60km from Krakow), Poland
Note: Preference will be given to applicants/participants who can comit to taking part in both seminars.
* Required
APPLICANT INFORMATION
Name
*
Your answer
Surname
*
Your answer
Gender
*
Choose
Female
Male
Date of birth
*
MM
/
DD
/
YYYY
Age at the time of the project:
*
Your answer
Citizenship
*
Choose
Czech
Slovak (and I live in Slovakia)
Slovak (and I live in the Czech Republic)
Other and I do have a valid residency permit in the Czech Republic
Other and I do NOT have a valid residency permit in the Czech Republic
Full address
*
Your answer
Which region do you come from?
*
Choose
Hl. město Praha
Jihočeský
Vysočina
Zlínský
Ústecký
Středočeský
Plzeňský
Pardubický
Olomoucký
Moravskoslezský
Liberecký
Královéhradecký
Karlovarský
Jihomoravský
Not applicable. I do not come from the Czech Republic
Current country of residence
*
Your answer
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)
*
MM
/
DD
/
YYYY
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:
*
Your answer
Language abilities in English
*
A1 (Beginner)
A2 (Elementary)
B1 (Intermediate)
B2 (Upper-Intermediate)
C1 (Advanced)
C2 (Proficiency)
Listening
Speaking
Reading
Writing
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?
Your answer
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