Application form - Training for Intergenerational Helper Group Leaders
Within the framework of the project “We wish a better world” supported by the European Commission, the 48-hour long Training for Senior Contemporary Group Leaders will take place from the 19th to 28th of February, 2018. in North Zealand, Danmark. We are looking for those who are willing to participate in the development of ICT skills for senior groups (peer-to-peer education).
The training institution shall keep the information recorded confidential and use it for organising the training. The provided data will not be available to third parties.
Further information about the training can be requested: Gitte E. Olsen; e-mail: go@tc-danmark.dk; phone: 00 45 20 91 48 10, or Morten Lembke; phone: 00 45 20 91 48 08; e-mail: ml@tc-danmark.dk; Telecentre-Denmark.
Name: *
Your answer
Birth Name: *
Your answer
Sex (male or female): *
Mother's name: *
Your answer
Place of Birth: *
Your answer
Date of Birth: *
Your answer
Nationality: *
Required
Home Address: *
Your answer
Mailing Address:
If it is the same as the home address, it is not necessary to fill it out.
Your answer
Phone Number: *
Including country and area code.
Your answer
E-mail address: *
Your answer
Do you have a Facebook account? *
Highest Level of Education: *
Please submit a copy of the documents certifying the highest level of your education as this is a precondition for participation in the training
Do you have any disability we should know about? *
If the previous answer is yes, please specify what special needs you have
Your answer
Contact Person (in case of emergency) *
Please provide contact deatils as well (phone number or e-mail address)
Your answer
When and how will you arrive to Danmark and to Kopenhagen? *
Your answer
Special Diet: *
Required
Will you bring your own laptop, smartphone, tablet with you? *
Required
Have you got any experience in training elderly people? If you have, please describe *
Your answer
How would you describe your knowledge on ICT? (Please describe the software and applications you know and often use.) *
Your answer
Level of English: *
Please describe your actual knowledge, no need to present any certificates.
Your answer
Describe your motivations for participating in the training (where would you benefit from it): *
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Where/How did you hear about the training? *
Required
Other comments:
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Statement: *
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