"QM - ESC" - call for participants
Eastern Slovakia - Kysak, August 23rd - September 1st of 2021

Please submit your application for participation before Monday, August 12th, thank you!

EduEra puts the security of the participants at a high priority. Therefore, we have put effort into consulting all issues with the Slovak NA and the Ministry of Health in Slovakia, and have eventually received the green light from them. Nonetheless, the full security of the participants cannot be guaranteed, despite our efforts. Therefore, the participants should have full health, travel ticket insurance in case of a COVID 19 outbreak, as EduEra does not accept liability for any damage inflicted by participating in the training activity and GREEN PASS or counting with quarantine days before the TC according to the current SVK COVID-19 restrictions which are not covered by the organizers.
Email *
First name *
Surname *
Sex *
Date of birth *
MM
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DD
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YYYY
Country of residence *
Institution/organisation you will represent *
Mobile phone (including country code etc) *
Your FB link for our future communication (click on your profile, copy the web adress)
E-mail *
Person to be contacted in case of emergency + phone number *
Your English level *
What is your relation to education or youth work? *
I see myself/work as a ... (multiple answers possible): *
Required
Please, explain shortly about the institution/organisation you will represent (mission, target group, activities, achievements) and your role/position in it. *
Have you ever been involved in the coaching process? Please, tell us about your experience. *
How is your work connected to ESC volunteering in rural areas?
What is your motivation to apply for our training course? What are you hoping to get, and what could you contribute? How would it contribute to your professional development? *
How will you and your institution/organisation use the outcomes of this training course? *
Do you have special diet? Please note that there is no possibility to change it during the training course, we need to pre-arrange the exact number of special diets with the venue beforehand.
Do you have any special needs?
Pls indicate if we should be aware of special arrangements to be taken for you, eg in terms of food, support etc
Is there anything else you would you like to add to your application?
Do you need a visa? *
Only if you need visa: full residential address
pls indicate street, place, post code, country, P.O. box etc
Only if you need visa: passport
pls indicate nationality, passport number, date of issueing and expiry, and the issueing authority
Please take note of the following conditions that apply in case you get selected: *
1. I commit myself to participate in the whole process, including: • to prepare myself carefully for the event and to do all remote preparation work the team will ask for, • to take part for the full duration of the event (mandatory condition for the reimbursement of travel costs and subsistence costs!) • to participate in the whole evaluation process 2. I am aware that obtaining a health and a travel insurance are my own responsibility and at my own expenses. I understand that the information I provided on my special needs does not remove my own personal responsibility for ensuring my own health. 3. I understand that I will share a room with several persons, and that the conditions at the venue are quite basic and rustic. I understand that the programme will be very intensive and that there will only be very little free time. 4. The application form will be processed electronically. All personal data (such as names, addresses,CVs, etc.) will be processed in pursuant to Regulation on the protection of individuals with regard to the processing of personal data by the Union institutions, bodies, offices and agencies and on the free movement of such data, currently Regulation (EC) No 45/2001. Any personal data requested will only be used for the intended purpose, i.e. the processing of your application in accordance with the specifications of the call for proposals, the management of the administrative and financial aspects of the project if eligible and the dissemination of results through appropriate Erasmus+ IT tools. For the latter, as regards the details of the contact person, an unambiguous consent will be requested.For the exact description of the collected personal data, the purpose of the collection and the description of the processing, please refer to the Specific Privacy Statement (see link below)associated with this form.http://ec.europa.eu/programmes/erasmus-plus/documents/epluslink-eforms-privacy_en.htm
I acknowledge the contagious nature of the Coronavirus/COVID-19I further acknowledge that EduEra has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.I further acknowledge that EduEra can not guarantee that I will not become infected with the coronavirus/Covid-19.I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, venue staff, and other participants.I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment.I attest that:* I am not experiencing any symptoms of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.*I have not traveled internationally within the last 14 days. I have not traveled to a highly impacted area within the last 14 days.* I do not believe I have been exposed to someone with a suspected and/or confirmed case of theCoronavirus/COVID-19.* I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non-contagious by state or local public health authorities.I hereby release and agree to hold EduEra harmless from and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the EduEra, or that may otherwise arise in any way in connection with any services received from EduEra.I understand that this release discharges EduEra from any liability or claim that I, my heirs, or any personal representatives may have against the EduEra with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from EduEra. This liability waiver and release extends to the project together with all NGOsmembers, partners, and participants.
Clear selection
Thank you very much!
A copy of your responses will be emailed to the address you provided.
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