Culture for the local development 2016 (15th-21st May 2016) Application Form
First name *
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Surname *
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Date of birth *
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Sex (Male/Female) *
Nationality *
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E-mail *
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Phone number *
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Home address *
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Occupation
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Membership (school, university, organization, other)
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Describe your motivation for participation in the "Culture for the local development" project. *
What do you hope to gain from it?
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What are your expectations of the project? *
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Please, describe your experience in local cultural projects management 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 Solidarity Academy *
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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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 the local development" from? *
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I declare my participation in the entire project. In the case of the resignation after my entry has been accepted, I will inform the organizers no later than 15th April 2016. *
I have read the programme of the project and I agree to actively participate in all activities. *
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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