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Application Form for Training Course in Poland "Sustainable Communities"
Please fill in this form to apply for the Training Course "Sustainable Communities" that will take place in Poland from the 15th until the 26th of October 2022
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Name
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Your answer
Surname
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Your answer
Gender
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Female
Male
Non binary
Other:
Email
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Your answer
Phone Number
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Your answer
Date of birth
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MM
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DD
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YYYY
City and country of residence (for example: Rome, Italy)
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Your answer
Nationality / Citizenship (you can write more than one if that's your case)
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Your answer
What is your motivation to apply for this project?
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Your answer
What is your interest in the topic?
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Your answer
How do you expect to use what you will learn?
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Your answer
Have you ever participated in international projects?
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Yes
No
If you answered yes above, please explain (how many projects? Which type? Where...)
Your answer
How would you rate your level of English?
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1
2
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5
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9
10
COVID 19
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Choose
I'm fully vaccinated and I have a valid certificate (full vaccination cycle completed at least two weeks before the start of the project).
I'm not vaccinated, but I have recovered from COVID-19 within the last six months.
I'm not vaccinated neither have I recovered from COVID-19.
Where did you find out about this project?
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Association's IG profile
Association's FB page
Facebook group
Friends/relatives recommendations
Others
The European Commission encourages the participation of youngsters with fewer opportunities or disadvantaged backgrounds. Do any of the following situations apply to you? Please select one or more than one option
Disabilities: mental (intellectual, cognitive, learning), physical, sensory or other disabilities
Health problems: chronic health problems, severe illnesses or psychiatric conditions
Educational difficulties: learning difficulties, early schoolleavers, lower qualifications, poor school performance
Cultural differences: first or second generation immigrants, refugees, ethnic minorities...
Economic obstacles: low standard of living, low income, dependence on social welfare system, young people in long-term unemployment or poverty, homeless, in debt or with financial problems
Social obstacles: discrimination because of gender, age, ethnicity, religion, sexual orientation, (ex-)offenders, (ex-)drug or alcohol abusers, young and/or single parents, orphans
Geographical obstacles: young people from remote or rural areas, small islands, less serviced areas
If you selected one or more options in the previous question, please explain
Your answer
By submitting this form, you will receive a confirmation email to subscribe Kora's newsletter. It's a monthly email that will keep you updated about our activities and opportunities for projects abroad. If you don't want to hear from us, just ignore the email, otherwise just click confirm on the link.
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