çöp(m)adam Empowerment by Design Application Form
The çöp(m)adam Residency for Innovation in Sustainable Design and Social Empowerment
Name *
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Place of Residence *
Your answer
Profession / Field of Study *
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Date and Place of Birth *
Your answer
Professional Motivation (please describe briefly) *
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Personal Motivation (please describe briefly) *
Your answer
Please check the boxes for the topics that you have experiences of: *
Required
Financial requirments: accomodation
Financial requirments: the cost of the residency programme without accomodation is 10 euros daily. Are you able to cover this and possible accomodation costs?
How did you hear about us?
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Please provide your contact information (email and skype / whatsapp / viber / phone number)
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Languages you are comfortable speaking on a conversational or work level *
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Anything you would like to ask or say (portfolio, life story, special needs, and so forth...)
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