imPulse - application form

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Hello there,

Thank you for your interest in joining the imPulse Youth Exchange which will take place in August 1-10 (travel days included), 2024, in Latvia. Before proceeding with the following questions, we kindly ask you to review throughoutly the infopack of the project.

The selection process will consider the details you provide in this application form, in addition to consultation with our project partner organizations.

We are really excited to learn more about you, and will be in touch soon :)

Warm regards, The imPulse Team

Name *

Surname *

E-mail address *

If you want, share a link to your social media (Facebook, Instagram etc.)

Phone number (with the country code) *

Your birth date *

YYYY

Where you will be travelling from? *

Latvia

Czech Republic

Italy

Greece

What is your English level? *

Poor

Basic

Good

Fluent

City of residence *

Gender *

Female

Male

Other:

Do you consider yourself a person with fewer opportunities? Please describe your situation.
*

No, I do not consder myself a person with fewer opportunities

Fewer opportunities for economic reasons (ex. person with challenged financial background)

Fewer opportunities for geographical reasons (ex. you come from a rural area)

Fewer opportunities for sociologic reasons (ex. you come from a migrant family)

Fewer opportunities for cultural reasons (ex. you belong to a minority)

Fewer opportunities for health reasons (ex. you have challenged health status)

Other:

Required

Please specify your answer

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