Application-Form Participants

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Please fill in the following application form. All required filds are mandatory.

The deadline for sending us the participants application forms is 15th of February 2016.

PART I - PERSONAL DETAILS


NAME
FAMILY NAME
DATE OF BIRTH
PLACE OF BIRTH
(city and country)
COUNTRY
FULL ADRESS
(street, no, city,
postal code)
MOBILE NO.
E-MAIL
FACEBOOK
PROFILE (LINK)
PASSPORT/ID
NUMBER

DD/MM/YYYY

SEX

M/F

Date of issue:
Date of expiration:

DD/MM/YYYY
DD/MM/YYYY

PART II CONTACT PERSON


NAME
LAST NAME
COUNTRY
FULL ADRESS
MOBILE NO.
E-MAIL
ROLE

Parent/Friend/Volunteers coordinator/eYE.

PART III PRACTICALITIES


Special
requirements upon
fewer oportunities
Meal
preferences
(diet,
allergies,
vegan, etc)
English skills
(please select)
Anything else you
think
organisers
have to know?

5 very good

4 good

3 so-so

2 poor

1very poor

Please fill in the following application form. All required filds are mandatory.
The deadline for sending us the participants application forms is 15th of February 2016.

PART IV PROFFESIONAL detailes & EXPERIENCE


Sending
organisation
Your role in the
organisation
Your daily job or
occupation
International
activities attended

PART V ABOUT FIND YOUR WAY 2


What are your
expectations
regarding this
youth exchange?
What will be your
contribution in this
youth exchange?
(Skills, methods,
etc.)
What is your
experience
regarding the
project topics?
What do you want
to learn through
your participation
in this youth
exchange?
How you will use
the new
competences you
will develop here
in the youth
exchange after the
project?
How will you
disseminate the
project results in
your own group or
organization?

Please fill in the following application form. All required filds are mandatory.
The deadline for sending us the participants application forms is 15th of February 2016.

PART VI ACKNOWLEDGEMENT
I do understand that participating in this project means to attend all the working
session within the Youth Exchange Find Your Way 2, implemented by Asociaia pentru
Dezvoltare Activ (Active Development Association) ADA, between 17 th and 27th of
March 2015 in Bacau, Romania. [Arrival day in Bacau: 16th of March 2015; Departure day
from Bacau: 28th of March 2015]
I commit myself to get involved in the promotion and dissemination of the project
result.
I commit myself to send, by post, after the activity, all the required return documents
that will prove my travel route and I understand that the reimbursement of the travel
costs will be done after the activity.
I agree that my personal data, mentioned in this form, to be processed in accordance
with Regulation (EC) No 45/20014 of the European Parliament and of the Council of 18
December 2000 on the protection of individuals with regards to the processing of personal
data by European Union institutions and bodies and on the free movement of such data.
I agree that the photos and videos taken during the project (training sessions, study
visits, Living Library, or all the other activities related to the project) in which I appear to be
used for the promotion of the project.

[Participants name]
______________________________

[Participants signature]
______________________________

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