Social Impact Week - Application Form
Erasmus+ Youth Exchange

Venue: Vila Nova de Foz Côa, Portugal
Date: 13-21. September 2017
Age Limit: 18-30 years old
Number of participants: 4 participants + 1 group leader / country

Costs: Accomodation and food are covered by Erasmus+ Programme,
Travel costs are covered up to 270€/pers./round way, according to the rules of Erasmus+ Programme.

Participation fee: 5.000HUF

Application deadline: 31th August, 2017

For more info, please contact us at or visit our webpage:

Name *
Your answer
Gender *
Date of Birth *
Place of residence *
The name of the city/town/village
Your answer
E-mail address *
Your answer
Phone nr. *
Your answer
What are you working/studiing? *
Your answer
Level of english *
Have you ever took part in Erasmus+/YiA projects? *
Your answer
What is your motivation for taking part in this project? *
Your answer
Eating habits *
Do you have any allergy or health problem? *
Your answer
Declaration *
Please, read all the declarations before checking.
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