Participants form
For participants of Youth Exchange "Youth NEEd OccupaTion" 5-15 March 2018 | Liepaja, Latvia
Name *
Exactly, how stated in your passport
Your answer
Surname *
Exactly, how stated in your passport
Your answer
Date of birth in following format (DD.MM.YYYY) *
Your answer
Gender *
Email *
Your answer
Country *
Home address *
Street, Number, City, Postal code
Your answer
Phone *
With international code +xx
Your answer
Special food requirements *
Food or any other
Required
Health problems *
Allergies, disability, diseases, medicaments we should know about
Your answer
How would you rate your level of English speaking? *
How would you rate your current level of knowledge about employment? *
Are you employed currently? *
Do you consider yourself to be "a person with fewer opportunities"? *
If "Yes", what kind of challenges do you regularly face?
Your answer
In case of an emergency, who should we contact on your behalf? *
Your answer
Have you ever participated in any of Erasmus + programmes? (YE, TC, PBA or Seminar) *
What is your occupation? *
Student, employed, etc
Your answer
Why do you wish to attend this youth exchange? *
Your answer
What do you expect, how is this project is going to influence your life? *
Your answer
Please give concrete examples on how you could disseminate (share and spread) the project results? *
Your answer
How you may contribute to this project? *
Your answer
If you have any additional comments or information for us, please include it here.
Your answer
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