Less is not more - Training Course

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Dear applicant, by filling in this form you are applying for the Project "Less is not more" that will happen from June 12 to 19 in Zagreb, Croatia.

Training Course:
June 12 - Arrival Day
June 13 to 18 - Program
June 19 - Departures

By filling this form you declare that you have fully read and understood the content and the conditions of the info pack of the project: https://tinyurl.com/6p3es96t

With your application, you commit yourself to take part in all the phases of the project: preparation, training course and follow-up activities.

We will choose as participants the applicants that will look to us more in line with the aim and method of the project, the more motivated and pro-active. We recommend you to dedicate enough time and care to complete the application form fully.

Be aware that in order to take part in the project you MUST have a valid health insurance for Croatia (Tessera Sanitaria is valid in Croatia).

The selected participants will be contacted directly at the email address written in this form with further information about the project and instruction about the membership in New Wellness Education - APS.

Email address: *

We will communicate with you through this contact

First Name: *

Surname: *

Date of birth: *

YYYY

Address of residence 1: *

Write the name of the STREET and the NUMBER

Mobile number: *

National prefix + Number

What is your current occupation or profession?: *

What is your level of English? *

Beginner

Basic

Intermediate

Fluent

Do you have any physical limitation? *

If yes, please explain what it is and how it is limiting you (what you can do and what you can't do because of it).

Choose your eating option: *

VEGAN

VEGETARIAN

NO SPECIFIC NEEDS

Other:

Do you have any allergy? *

ex. lactose free, gluten free, allergy to mushrooms, nuts or other food, allergy to bees' bites... Keep in mind that for us taking care of your diet requires extra efforts. If you are curious to try a different diet then your usual one, do so in another occasion

Do you have a medical insurance valid in Croatia? *

Be aware that European Health Insurance Card (Tessera Sanitaria) is valid in Croatia. The insurance provided by New Wellness Education - APS when becoming a member, is valid in European Union, in order to take part in the project you MUST have a valid health insurance before your departure.

Do you take any regular medication? *

If yes explain what medication

Contact in case of emergency? *

Write the name, surname, phone number and what relation this person has with you

What is that calls you to apply for this project? Why do you want to participate? *

What previous experiences do you have in non-formal education? *

What previous experiences do you have as youth worker? *

Mark the box that applies to you: *

I'm currently unemployed

I will be unemployed at the moment when the project starts

I have an unstable, temporary or precarious job

I have a low income. (under the country's average)

I have a certain disability

I have serious health issues or I have had it in the past

I'm having educational difficulties (dropping out of school, taking a longer time to finish a certain level of education.)

I'm homeless or depending on the social welfare system

I'm migrant or my parents are migrants

I belong to a cultural minority

I belong to the LGBTQIA+ spectrum

I'm a child of a single parent

My parents are divorced

I live in a remote area (islands, mountains, rural area, difficult city areas with less facilities and services available).

None of the above applies to me

Other:

Required

How do you plan to use what you learn in the project when you go back home? *

Have you participated in any project supported by European funds before? If yes, tell us about them: *

(e.g. Youth Exchanges, Training Courses, European volunteering, etc.)

How did you find out about this project? *

NWE means New Wellness Education - APS

NWE Facebook

NWE Instagram

NWE LinkedIn

A friend recommended to me

On a youth mobility portal

Through the social media of "Institut Mobilnost"

Other:

Is there anything else that you want to add? (optional)

I hereby declare that all the above information are true and correct to the best of my knowledge. By submitting this application I confirm that I have read and understood the information written in the web page of the project: https://tinyurl.com/6p3es96t and the conditions of reimbursement as written in the info material provided and I know and accept the conditions of participation. I commit myself to take part for the full duration of the activity: preparation, training course and follow-up phase and to participate in the whole evaluation process; in case I will break this commitment I will renounce to the travel reimbursement. I understand that the information I provided on my special needs does not remove my own personal responsibility for ensuring my own health. I understand, commit and declare that I will take all the necessary precautions, mandatory and not mandatory ones, in order to keep myself healthy and not get infected nor spread COVID-19 virus. I understand and agree that the project may be photographed/filmed and used for publications or websites and social networks to provide visibility to the project, the organizations and the public bodies involved in it.

I confirm

Required

I hereby declare that I understand and I commit to the safety rules written on the web page of the project: https://tinyurl.com/6p3es96t I understand that if I will not apply myself those safety rules the organizers will be obliged by law to inform the local authorities and, in case I will break the rules again, I will have to leave immediately the youth exchange. I understand as well that the common safety rules don't remove my own self-responsibility and I understand that the risk of contagions, despite being reduced to the minimum, still exist. I commit myself not to take any legal action towards the organizers, the organization "Institut Mobilnost" and "New Wellness Education - APS" other partner organizations in case I will get infected by the COVID-19 during the training course or while traveling to/from the project.

I confirm

Required

GDRP PRIVACY *

The organizations "New Wellness Education - APS" as Italian partner of the project and "Institut Mobilnost" as project coordinator and host, take care of protecting your personal information and privacy and takes all necessary organizational and technical measures to ensure that your personal information and privacy are protected according to the current GDRP valid at local, national and international level. By entering the information above, you give your consent to the organizations above mentioned to process it for the purpose of implementing the project Less is not more. The personal data are collected and processed solely for this purpose. At any time you are entitled to access and correct your personal information, as well as to deletion, transfer and objection. We regard your personal information as a professional secret and we protect it in accordance with applicable legal regulations (international, European and national) and best practices. Note: You can withdraw your personal data approval at any time by contacting us via the email address newellnesseducation@gmail.com. If you have any questions, please do not hesitate to contact us via newellnesseducation@gmail.com. I confirm I am aware of this information and I consent the use of my data according to the GDRP for the exclusive purposes related to this project.

I confirm

Required

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