Application for "Dare to Be You!" project
Dear applicant,

by filling in this form you are applying for an experiential learning youth programme "Dare to Be You!" that will happen 3.-14.10.2018 in Adamov, Czech Republic. You need to be able to participate in the whole project.

The project is open for participants from the Czech Republic, Slovakia, Italy, Greece, Romania, Croatia and Bulgaria (either of this nationality of currently living in one of these countries).

With your application, you commit yourself for the whole project: preparation, participation in the project, dissemination and follow-up activities.

We need the following data to prepare everything by the time you arrive. We ask you to give correct and valid data. Some questions are there for you to reflect on yourself, as it will be a lot about you.

The participants will be selected based on the quality of application forms so we recommend you take time to fill it in carefully.

Brno Connected team

Personal data protection info:
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 "Dare to Be You!" 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. Only applications from a given country will be shared with a given organisation (I.e. Croatian applications will be shared to Croatian organisation, etc.)
At the end of this application, we will ask you to give us permission to keep your data - without this we are not able to process your application for the project.

Personal information
Country of residence: *
First name: *
Your answer
Last name: *
Your answer
Name you want to be called during the project: *
Your answer
Gender *
Date of birth: *
MM
/
DD
/
YYYY
Age at the beginning of the project: *
Your answer
Nationality: *
Your answer
E-mail address: *
Your answer
Phone number: *
Don´t foget your national pre-fix
Your answer
Address: *
Street, number, zip code, city, country
Your answer
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