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Application Form - Study Session "Gender Equality Through Human Rights Education and Youth Leadership", 21-28th July 2012, EYC Budapest
Deadline for applications: 30th May 2012 (midnight CET).
If you have any questions regarding the form or the study session please contact us via email
stsgenderequality@gmail.com
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* Indicates required question
I. Information on the applicant
Name and Surname
*
Your official one, the one on the passport
Your answer
Gender
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This question is aimed to monitor gender equality and diversity within participants
Your answer
Date of birth
*
Your answer
Nationality
*
Your answer
Country of residence
*
Your answer
Occupation/profession
Your answer
Knowledge of English
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Please note that study session will be conducted in English
Fluent
Good
Satisfactory
Poor
Do you have any accessibility, dietary or other requirements?
*
If so please specify
Your answer
Do you have any preference regarding roommates, as far as gender?
*
Your answer
II. Contact information
Please note that all correspondence regarding the study session will be sent to the contacts you provide in this form, make sure information is accurate and complete
Postal address
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street, number, city, postal code, country
Your answer
E-mail
*
Your answer
Contact phone number (GSM phones preferred)
*
Don't forget your international dialing code
Your answer
Emergency contact
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Please provide a phone number of someone who can be contacted in case of emergency during the study session
Your answer
III. Information on sending organisation
Name of sending organisation
*
Your answer
Contact persons name and email
*
Your answer
Website
*
Your answer
Please briefly describe the scope and main activities of the organisation/institution to the relation of the theme of the study session
*
Your answer
Your organisation is:
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Choose on of the following
International youth organisation
National youth organisation
Governmental institution
National youth council
Local/regional youth organisation
Minority rights organisation
Other:
Your role in organisation
*
Your answer
IV. Experience and motivation
Please carefully read the goals and objectives of the study session
What is your motivation in attending this study session?
*
Your answer
Do you have any previous experience related to the theme of study session? (If yes, please specify)
*
Your answer
In your opinion, what are the most relevant current issues connected to gender equality?
*
Your answer
If accepted, how you would follow up on the outcomes of the study session (Ex. activity, action, initiative, etc. )?
*
Your answer
Have you ever attended study session before?
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Yes
No
Required
V. Visa and travel costs
Do you require assistance to obtain visa to Hungary?
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Yes
No
Required
If so, please provide your passport number
Your answer
If so, please provide date of issue of your passport
Your answer
If so, please provide date of expiry of your passport
Your answer
If so, please provide authority/place of issue of your passport
Your answer
If so, please provide date of birth
Your answer
If so, please provide place of birth
Your answer
Estimated travel coast to Budapest
*
Your answer
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