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Phone number (including international code) *
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Your role in the organization or in the journalism sector. *
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Your experience in the field of the project? *
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How could you multiply the impact of the activity when you are back in your local/regional/national community? *
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Are you directly involved in activities related to the subject of the project? If yes, please specify. *
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How will you contribute to the programme of the activities? Make examples of non-formal learning activities you could propose or lead. *
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City of departure and estimated travel costs to Palermo (PMO airport or Palermo train station) or to Catania (CTA airport) or to Trapani (TPS) airport. *
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