PARTICIPANT FORM TOGETHER FOR INCLUSION
This is a participant application form for the international youth exchange "Together for Inclusion", funded by the European Commission under the Erasmus+ Program.
Please fill in all parts of the form and submit it until the 31st of May 2018.

Note: According to the Erasmus+ rules, those individuals who are currently benefiting from an EU grant (such as Erasmus student mobility or EVS) are not entitled to participate in a training course under Erasmus+ programme. Similarly, those who are not officially residents in the country of their sending organization (in our case: Romania, UK, Spain and Portugal) are also not eligible to participate. By filling in this form, you are assumed to agree that you meet the mentioned eligibility criteria.

First name (as in your passport/ ID card) *
Your answer
Last name (as in your passport/ ID card) *
Your answer
Gender *
Date of birth *
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DD
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Country of residence *
Your answer
Current location ( City ) *
Your answer
E-mail adress (To be used in our future communications regularly) *
Your answer
Phone number *
Your answer
Emergency contact (Please provide a name and phone number that we can use if we cannot reach you in any urgent situation.) *
Your answer
Special dietary needs (eg. vegetarian, allergies) *
Your answer
Please briefly (in 10-15 lines) describe your motivation to participate in this youth exchange. *
Your answer
What do you expect to achieve/learn during the YE? How do you intend to use the knowledge you will gain in future? *
Your answer
Are there any factors that might be considered as obstacles in your learning and development (social, economic, social, geographical)? If yes, please describe it! *
Your answer
Please add any other information/request you would like to share regarding your participation. *
Your answer
Thank you for all your answers. In order to finalize the selection procedure please send your last CV to the e-mail address: corina.bahneanu@creedromania.ro, until the 31st of May 2018.
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