Application form: Connection through Adventure
Outdoor As a Tool network announces its new exchange: Connection through Adventure

This course is ONLY for those who will participate in ALL 2 parts:
part 1: 1-2 June 2018, APV (Advanced Planning Visit) – 1 leader + 1 participant
part 2: 2-8 July 2018, Youth exchange, 1 leader + 4 participants

Apply by May 16, 2018.

More details:
http://smokinya.com/2018/05/connection-through-adventure-youth-exchange-in-the-netherlands/

Email address *
What is your first name? *
Your answer
What is your last name? *
Your answer
How do you want to be called during the training? (Nickname) *
Your answer
What is your gender? *
Date of birth? *
Your answer
Country of residence? *
Your answer
What is your mobile phone number? (including country code) *
Your answer
Who is the person, we can contact in case of emergency? (full name, phone number, e-mail address) *
Your answer
What is your background in the field of outdoor? *
Your answer
What is your background in the field of communication? *
Your answer
What is your background in the field of youth work? *
Your answer
How would you describe your physical and mental health condition? *
Your answer
What is your occupation? *
Your answer
Do you consider yourself as a person with fewer opportunities? Specify. [living in remote area; coming from a broken family; having physical or mental disabilities; educational problems; financial problems or else] *
Your answer
Do you have any kind of special diet? If yes specify: *
Your answer
What attracted you to apply for the training? *
Your answer
What do you want to get out of the training? *
Your answer
How did you learn about this training? *
Your answer
By clicking this box I confirm that I read an understand the information letter and the condition of the reimbursement. *
Required
By clicking this box I accept that as soon as I get selected I am going to organize my travel till the given deadlines. *
Required
By clicking this box I accept and understand that I have to pay 16 € as my contribution for the sending organisation. *
Required
By clicking this box I accept that I have to organise a dissemination event till the given deadline otherwise I am not going to get reimbursed. *
Required
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