Application form - ACTing for Change
Through this application you are applying to participate in ''ACTing for Change'', a 3-phase Training Program for Youth Workers that will take place between December 2019 and April 2020, in Ommen (the Netherlands) and in each partner country.
Before applying read carefully our Info letter and if you have any questions, feel free to contact our Project Coordinator at
By filling this application form you are applying to take part in all 3 phases of the project:
-1st Phase: Training Course [11th - 20th December 2019 (including travel days)] ; Ommen, the Netherlands
-2nd Phase: Local Action Phase [January, February and March 2020] ; each partner country
-3rd Phase : Capacity Building Meeting [5th-10th April 2020 (including travel days)] ; Ommen, the Netherlands
This application form has 4 parts:
1. Personal details
3. Motivation and Desired outcomes
4. Local Action Phase and Extra questions
Read carefully all the questions and take your time to answer them in detail.
Enjoy the ride!
Country of residence
Prefer not to say
Date of birth
Age at the beginning of the project
With international code
Street, number, zip code, city, country
Level of English
Link to FB profile
Do you have any dietary needs?
All meals will be fully vegetarian. If you have any other dietary need, let us know.
Do you have a health insurance that covers you for the duration of the 1st and 3rd phases of the program?
No, but I will arrange one in case I am selected
Contact person in case of emergency
Full name, Address, Phone number, Relationship to you
Do you have any special need or health requirement?
Medical need, allergies, etc
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