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InterACTive Colors - Application Form
Dear one,

Welcome to the Application Form of InterACTive Colors Exchange Project.

You are about to fill in your application to the project. There are 4 parts in this form.
Filling the form will take you approximately 15 to 25 minutes depending on your answers.

This application form applies for you and your attendance in the main event of the project: Exchange.
The selection of participants happens from each partner organization in cooperation with us.

In case you are selected to take part in the Project, you will receive a Confirmation Letter with more details about your arrival and participation in the activities of the Project. If you have received this letter, you can start arranging your travel.

In case we meet you in Ommen, we would like to get to know more about you, your motivation coming to this project, your learning goals and outcomes you want to achieve, your experience so far and practical aspects to support us in the organization of the exchange.

We keep your personal data private. It will not be shared with a third party in any case.
If you have any question or need clarification, contact us at: info.oldevechte@gmail.com

Colorful Greetings,

Cathy Manousaki
& Olde Vechte Team

Learn - Grow - Act
Personal Information
Country of Residency
Your answer
First Name
Your answer
Surname
Your answer
Name you want to be called in the event
Note that the name will be on your nametag.
Your answer
Date of Birth
MM
/
DD
/
YYYY
Place of Birth
We ask this information so that we can include it in your Youthpass, as asked by Erasmus+. Please write: City and Country.
Your answer
Age
Your answer
Preferred Pronoun
We value the respect on individuals gender identity. If you are not familiar with what a pronoun is, please read this resource: https://uwm.edu/lgbtrc/support/gender-pronouns/ . It is one of the many resources, which can be found online.
Your answer
How do you identify yourself?
We ask this in order to achieve gender balance required by Erasmus+ programme.
Your answer
E-mail
Provide us with a valid e-mail address as it will be used for further communication with you.
Your answer
Address, Zip code, City, Country
Your answer
Telephone number
Preferably mobile number. Please also include your country's code.
Your answer
Contact person in case of Emergency
Please fill in the field with: full name of the person, relationship to you, address of the person, telephone number of the person
Your answer
Level of English
Food requirements
Please, specify your dietary needs.
Allergies
Specify if you have any type of allergy we should be aware of. Specially allergies connected with food.
Your answer
Do you have any kind of physical limitation?
If so, please specify.
Your answer
Do you have a medical insurance valid in the Netherlands?
According the Dutch law, you need to have a medical insurance, valid in the Netherlands.
Additional Personal Information
Organization
Are you a member/volunteer in any organization (LGBTQIA+ or other) in your country? If yes, write us the name of it.
Your answer
Position
What is the position you have in the organization? Briefly describe to us about what you actually do: your tasks, involvement and contribution to it.
Your answer
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