Application form - "Common Ground"

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Dear applicant,

by filling in this form you are applying for a the mobility project for youth workers "Common Ground". You need to be able to participate in the whole project, with your application you commit to participate in: preparation, training, dissemination and follow-up activities, and evaluation. Make sure you have read the whole infopack before applying.

The participants will be selected based on the quality of application forms, so we recommend you take time to fill it in carefully. We ask you to give correct and valid data. We are going to dispose with information you provided with respect and according to General Data Protection Regulation (GDPR) and we will be using them only for the purposes of the project. Data from the application are accessible to team of the project and applications will be shared with partner organisations in order to make the selection of applicants.

YOUth Connect Team

international@youth-connect.com

Email *

Personal information

Country of residence:
*

First name:
*

Last name:
*

What gender do you identify with?
*

Nonbinary

Male

Femal

I prefer not to specify

Other:

Date of birth:
*

YYYY

Nationality:
*

E-mail address:
*

Phone number:
*

Address: *

What is your level of English?
*

Excellent

Good

Fair

Basic

What is your current occupation or profession?
*

What is your connection with youth work? (e.g. do you work/volunteer in a youth organisation? Have you in the past?)
*

What is the youth organisation you are part of/cooperate with? What is your role in the organisation?

Please insert link to the organisation's website

Do you belong to some of the fewer opportunities groups?

Economic obstacles (unemployed, low income, dependence on social welfare system, with financial problems, etc.)

Social obstacles (facing discrimination because of gender, age, ethnicity, religion, sexual orientation, disability, etc.)

Disability (mental, physical, sensory or other disabilities, etc)

Health problems (chronic health problems, severe illnesses or psychiatric conditions, etc.)

Educational difficulties (people with learning difficulties, early school leavers, lower qualified persons, etc.)

Cultural differences (immigrants, refugees or descendants from immigrant or refugee families; belonging to a national or ethnic minority; people with linguistic adaptation and cultural inclusion difficulties, etc.)

Geographical obstacles (from remote or rural areas, living on small islands or in peripheral regions, from urban problem zones, from less serviced areas (limited public transport, poor facilities), etc.)

I do not belong to any of the fewer opportunities groups.

Clear selection

If you marked some of the boxes in the previous section, please specify:

Do you have any health problems, disabilities, allergies or health limitations?
*

Do you have a special diet?*

If yes, specify (vegetarian, vegan, gluten free,..).

Do you take any regular medication?
*

Contact person in case of emergency:
*

Why do you want to participate in the training course? What challange do you experience during your work? (if you want to improve your application, you are welcome to share a video where you answer the questions - not compulsory)
*

Do you notice dysfunctional patterns or recurring conflicts in your organisation?
*

Have you participated in any project supported by Erasmus+ before? If yes, please describe shortly.

What is your favourite song that recharges you, energises you, or just makes you feel good? Please write the artist and the title of the song.
*

I hereby declare that all the above information are true and correct to the best of my knowledge. By submitting this application I, the undersigned, confirm that I have read and understood the Infopack of the project and the conditions of reimbursement and I know and accept the conditions of participation.
*

I agree

I agree that the provided data are used for the purposes of this project and I acknowledge that the information from this application are accessible to the project team and to the representative of a partner organisation from my country.
*

I agree

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of YOUth Connect.

Does this form look suspicious? Report

Forms