ESCAPE-TC Linz 5-12 Nov 2018
Email address *
Full Name *
Your answer
Gender *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Country of Residence *
Your answer
Mobile phone number (please include country code) *
Your answer
What type of work you do? *
Your answer
Do you use Performing or fine arts in your work? If yes, which arts precisely?
Your answer
Please describe shortly the main activities you usually take part in. *
Your answer
Experience/Motivation - Please describe your experiences in the fields of Performing Arts and International Youth Work Projects. Please add websites, references for your work, projects if present. *
Your answer
How did you find out about this project? *
Your answer
What are your expectations? *
Your answer
How will you use your learning in your career/work? *
Your answer
Practicalities - Your English skills are: *
Practicalities - Please specify any food requirements you may have (allergies, vegetarianism, hala, kosher, etc.) *
Your answer
Practicalities - Please specify any additional special need you may have (mobility, medical condition, etc.) *
Your answer
Do you already know the Erasmus+ programme? Have you already participated in E+ activities? If yes, which ones? *
Your answer
Declaration: Please take note of the following conditions that will apply in case you are selected to participate in the training course. 1. 1. I commit myself to participate in the whole process, including: to prepare myself carefully for the training course and to do all remote preparation work the team will ask for; to take part in the full duration of the training course; to participate in the whole evaluation process; 2. I am aware that obtaining a health and a full travel insurance are my own responsibility and at my own expenses; 3. I understand that the information I provided on my special needs does not remove my own personal responsibility for ensuring my own health; 4. I authorise you and the European Commission to publish, in whatever form and by whatever medium, including the Internet, my correspondence address, information about my organisation and work and pictures taken at the course *
Comments - If there is any other relevant information the organisers should be aware of, please write it here.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms