Pick4All - Application form
PLACE AND DATE: Milan, Italy - 01-03.02.2022
PARTICIPANTS:                1 racket sport expert
LANGUAGE:         The official language of the project is English.



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Email *
Your name and surname (exactly as appears in your ID/passport): *
Date of birth: *
MM
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DD
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YYYY
Gender: *
Phone number: *
Living in/travelling from (city): *
Rate your level of understanding/speaking English language: *
Poor
Excellent
Please provide information about your education in the field of racket sports: *
Please provide information about your experience in the field of racket sports: *
Are you currently working in a sport organization as racket sports expert. If so, in which organization? *
Do you have previous experience in the field of non-formal education? *
Why do you want to participate in the Pick4All mobility? What do you expect to gain professionally and personally from it? *
How do you want to use the knowledge you gain at this Mobility? *
Specify any food requirements that you have (food alergies, preferencies, ect...) or any special needs (mobility, medical condition, ect...). Otherwise leave blank (use n/a) *
My COVID state in the moment of filling the present form is: *
Emergency contact person. Please give name, phone number and e-mail of your emergency contact. Include the country code (e.g. +32 for Belgium) *
Additional information and comments:
With the present application in Pick4All mobility, I declare that: *
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