TC "Demystifying Disability: working towards inclusion"
Please complete this questionnaire with all the important information about your application for this action.
First and Last Name *
(as in your ID Card)
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Residential Address (City) *
Your answer
Phone Number *
Your answer
Email Contact *
Your answer
Are you a member of any organisation? *
If yes, please let us know which organisation.
Your answer
Language Skills *
Please write the language and the respective level - Basic, Good, Excelent/Native (Example: Portuguese N, English E, Spanish B)
Your answer
Describe your voluntary/community work experience *
Your answer
Do you have any experience in the field of disability and social inclusion? Develop your answer, please: *
Your answer
What is your main motivation to take part in this action? *
Your answer
What do you expect to gain from this experience? *
Your answer
If you are selected, how will you help transferring the knowledge you will acquired during the mobility to the members of Núcleo de Inclusão and to the general public? *
Your answer
Do you need support/specific arrangements regarding any health issue (illnesses, disabilities, allergies)? *
Your answer
Do you have any dietary requirements (vegan, vegetarian)? *
Your answer
How did you find out about this project? *
Política de Privacidade
O Núcleo de Inclusão está empenhado em proteger a segurança e privacidade dos dados pessoais. Neste contexto, o Núcleo de Inclusão elaborou a seguinte Política de Privacidade, com a finalidade de dar a conhecer os termos em que o Núcleo de Inclusão recolhe e trata dados pessoais, de acordo com o Regulamento (UE) 2016/679 do Parlamento Europeu e do Conselho, de 27 de abril de 2016 (Regulamento Geral sobre a Proteção de Dados – “RGPD”) e restante legislação de proteção de dados pessoais. Link da Política de Privacidade: http://www.pluralesingular.pt/index.php/politica-de-privacidade-e-termos-de-utilizacao
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service