SHARING VS WASTING, Youth Exchange 30.05.2019- 6.06.2019 in Chiari, Italy

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Name: *

Surname: *

E-mail address: *

Phone number (please add the prefix of the country code): *

Date of birth: *

YYYY

Gender: *

Male

Female

Other:

Name of your sending organization:

Are you applying as a Participant or as a Group Leader? *

Participant

Group Leader

Level of English: *

Poor

Basic

Intermediate

Advanced

Fluent

Food requirements: *

Meat eater

Vegetarian

No preference

Other:

Allergies and intolerances: *

Do you have any physical limitations?: *

Yes

Do you have a valid European Health Insurance Card? *

Yes

No, but I declare I will have one before coming to Bulgaria

How would you like to contribute to the project? *

What do you want to get out of this project? *

Do you have any previous experience with Erasmus+ projects? If yes, in what kind of projects have you participated? *

Do you consider yourself to be youngster with fewer opportunities? If yes, what kind of disadvantages are you facing? *

Is there anything else you would like to share with us? *

Agreement

By submitting this application I confirm that I have read and understood the Information provided and the conditions of travel reimbursements about the project and I know and accept the conditions of participation. I am aware that there is a participation fee of 35 EUR, which is non-refundable. *

I confirm

Other:

Please confirm that you give your consent for ABS to store and use your data for its internal database: *

I agree to my personal data being stored and used by ABS for its internal database

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