iINTERACT & iLEARN - Application form
This questionnaire is so that we get know a bit about you, your background and the expectations you have for the training course. Please consider your answers carefully. Only complete application forms will be considered.

APPLICATION DEADLINE: August, the 18th
We will collect applications and inform you about the selection results asap.

If you have any questions contact us at trainings.loesje.armenia@gmail.com

Email address *
Your personal information
First name *
Your answer
Surname *
Your answer
Gender *
Required
Day of birth *
MM
/
DD
/
YYYY
Address *
Street, house number, postal code
Your answer
City of residence *
Your answer
Country of residence / Representing organisation *
For this training course only applicants from the joining countries will be considered.
Are you already member of the sending organisation of your country? *
Required
Special needs
Please indicate if you have any special needs, allergies, food/dietary, mobility problems etc.
Your answer
Level of English (speaking) *
For this training course you are expected to be able to speak and work using the English Language.
Your contact information
Email *
Your answer
Mobile Phone *
Your answer
Emergency contact information
Safety first. Who should we contact in case anything happens to you?
Emergency contact Full name *
Your answer
Emergency contact Relation to you *
Example: mother, best friend, employer
Your answer
Emergency contact Phone number *
On what number can we reach this person?
Your answer
Emergency contact Location/City *
Where will this person be during the time of the training course?
Your answer
About you & your background
How would you describe yourself?
What are your fields of interest, hobbies etc.? Please give a short creative overview of your personality.
Your answer
What do/did you study? What is your occupation? *
Your answer
In what organisation(s) are you active and what is your role there? *
Your answer
What experience do you have as trainer youth worker or youth leader? *
Please also mention if this was national or international?
Your answer
In which training courses have you participated? *
Please describe: SUBJECT, WHERE this was, WHEN this was.
Your answer
How will you use what you learn in this training course? *
Your answer
Almost done!
Have you participated in any previous training course of Loesje Armenia? *
If yes, please tell the project title(s) and which year it was.
Your answer
How did you find out about this training course? *
If you heard from someone, please mention his/her name.
Your answer
By submitting this application, I confirm that the answers I filled in are true and complete. I understand that if I am selected as a participant, I will be fully available on the planned days and will follow the conditions and rules established by the organizer. *
Required
Travel reimbursement: Your travel expenses will be reimbursed according the rules stated in the call for participants. The money will be transferred to your bank account after the training course when you have given us all the original travel documents from your trip (Boarding passes, e-tickets, invoices, bus/train tickets, bills etc.) For the trip back home, you have to keep the return tickets and boarding passes and right after your arrival home, you will have to send us via registered post mail to the address which will be provided when you are in Armenia. The participation fee of 25 Euro's has to be paid separately in cash upon your arrival. *
The transfer will be made right after checking and approving that all travel documents that you sent us are in order. If you do not provide us with the original travel documents, we will not be able to reimburse your travel costs that you paid. Therefore, please take good care of all the documents for your travel.
Required
Application deadline: August 25th
We will collect applications and inform you about the selection results asap.

If you have any questions contact us at trainings.loesje.armenia@gmail.com

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