Registration Form
'Say it with Zine' - Our goal is to create a fanzine in which the spirit of communication and freedom from hate speech reaches as many people as possible and acts as a tool for social change and an example to follow.
Youth Exchange 22/10/2018 - 29/10/2018, Lorca (Murcia), Spain
First Name *
Your answer
Surname *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
Your answer
Nationality *
Your answer
Gender *
Phone Number (incl. country code) *
Your answer
E-mail address *
Your answer
Passport/ID Number *
Your answer
Food allergies/intolerance *
Your answer
Other special needs *
Your answer
Profile of the Participant *
Partners Country *
What is your motivation to participate in the Youth Exchange? *
Your answer
What would you like to learn during the Youth Exchange? *
Your answer
What expectations do you have? *
Your answer
Good practice you want to share at the training course. Please give us a topic and estimated time needed to present it.
Your answer
Arrival Date in Spain
MM
/
DD
/
YYYY
Departure Date from Spain
MM
/
DD
/
YYYY
Approximate date and time of your arrival in Lorca
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service