Application Form
Thank you for your interest in our project. We would like to better understand your motivation in taking part in this specific project. So please, read carefully the form, answer the questions and do not forget to ask your sending organization to send the form together with your CV.
1. YOUR MOTIVATION AND EXPERIENCES
1.1 Please, describe your previous experiences in youth work and non-formal education. *
Your answer
1.2. Do you like or are interested in ICTs? Do you use it in your youth work yet? If yes, canyou explain how do you use it, please? *
Your answer
1.3. What is your motivation for this project? Do you think that the project can provideyou with some useful tools for social inclusion to be used in your youth work? *
Your answer
1.4. What would you like to share at personal level with other participants? *
Your answer
1.5. Knowledge and skills you hope to gain during the training and the whole project. *
Your answer
2. PERSONAL INFORMATION & SPECIAL NEEDS
2.1 PERSONAL INFORMATION
Name *
Your answer
Surname *
Your answer
Gender *
Place of Birth *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Email address *
Your answer
Country *
Your answer
City *
Your answer
Post Code *
Your answer
Address *
Your answer
Mobile *
Your answer
Passport (ID) *
Your answer
2.2 SPECIAL NEEDS
Do you have any special needs (medical conditions, handicaps, etc.)? *
Do you have any kind of allergy? *
Do you need to take any kind of medicine? *
Is there any food you do not eat? *
2.3 Please give further description if you have answered “YES” to any of the abovequestions.
Your answer
DECLARATION
Please tick the squares to show you understand and accept the above declaration *
Required
Thank you for filling in the application form!
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