Application form | RestART
Hello there,

it is great that you would like to get RestARTed with us! Before you get into answering following questions, make sure that you read info letter thoroughly. If you have any questions, feel free to contact us at info.oldevechte@gmail.com

The RestART team
Veronika, Despoina and Lena

APV: 2-4 of October 2017 and Youth Exchange: 2-13 of February 2018, excluding the travelling dates

Name *
Your answer
Surname *
Your answer
Name you want to be called during the project *
Your answer
Gender *
Country *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Sending organization
Phone number *
Your answer
E mail *
Your answer
Contact person in case of emergency, address, phone number, relation to you *
Your answer
Your present health status *
Your answer
Do you have any disability (mental/physical) that we should take in account during the project? *
Your answer
Do you have any allergy? *
Your answer
What is your diet? *
Do you have a valid health insurance in the Netherlands? *
What are you applying for (participants coming for APV are also coming for YE):
Are you applying for a Group leader, Participant or a Media Guru? *
Required
Make a video/ song/ drawing/ poster/ poem/ photo/ text or whatever else you like that shows the artist inside of you. (You can add a link) *
Your answer
What means embodied arts for you? (You don't need to search for definition. We are curious to know what makes you passionate about it) *
Your answer
The way you can contribute to the project is.. (a big part of the project is done by you, so what is that you would like to share with other RestARTers) *
Your answer
What do you want to get out of this project? *
Your answer
How would you share your learning from RestART in your network/community? *
Your answer
Did you participate in ReMOVEit project? *
Is there anything else that you would like to share with us?
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