Non Formal Education Application Form

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Non formal education key to success

14.04. 23.04.2015
Zadar, Croatia
APPLICATION FORM

Name
LAST NAME
DATE
OF
BIRTH
COUNTRY OF
RESIDENCE
ADRESS
MOBILE NR.
E-MAIL
FACEBOOK
PROFILE
(LINK)
PASSPORT/ID
NUMBER

Name
LAST NAME
COUNTRY OF
RECIDENCE
ADRESS
MOBILE
NUMBER
E-MAIL
ROLE

PART I - PERSONAL DETAILS


KOBRIJA
ELENA RALUCA
14/03/1992
SEX
F
ROMANIA
Street ION SIMIONESCU no.20, BACAU, ROMANIA
+40 744 814 379
kobrija_raluca@yahoo.com
https://www.facebook.com/elena.kobrija

Date of issue:
Date
of
expiration:
PART II CONTACT PERSON
CHIPER
VIORELA
ROMANIA
TARGU NEAMT, ROMANIA

puzzle.optimeast@gmail.com
Volunteers coordinator/eYE.

PART III Practicalities


Special
requirements
upon fewer
oportunities
Meal
No preferences.
preferences
(diet,
allergies,
vegan, etc)
English skills 5 very good 4 good 3 so-so
2 poor
1very poor
4 good
(choose)
Anything else Nothing else, everithing is clear.
you think
organisers
have to know?
PART IV PROFFESIONAL detailes & EXPERIENCE
ORGANISATIO PuzzleOptimEast NGO
N
YOUR ROLE IN Volunteer member
THE
ORGANISATIO
N
YOUR DAILY
Searching for other members; work on some projects or
JOB/OCUPATIO solve the comunity problems
N
INTERNATION Youth Exchange East West dialog in Brno, Czech
AL ACTIVITIES Republic
ATTENDED
PART V ABOUT TRAINING COURSE
Why you want I want to participate in this TC because I want to
to participate
explore and know more cultures, to communicate
in this TC?

with people from other countries , to improve my


English skills

What are your


expectations
regarding this
TC?

During this TC I want to acquire competences like


improved our understanding in other foreign language;
learning how to understand and respect other culture;
and also have a chache to be creative, being
appreciated for my ideas and accepted as a leader in
some activities
Have you ever In october 2014, I have been participated in a Youth
Exchange in Czech Republic, called East West dialog.
participated

in a similar
course (Youth
in action
training
courses or
other non
formal
education
programmes)?
If yes, please
provide some
details.
What are the
objectives
and the
activities of
the
NGO/group
you represent
regarding the
project topic?
How you will
use the new
competences
you will
develop here
in the YE after
the project?
How will the
NGO support
you to use
this
competences?
Whats your
favourite
famous
quote?

During this project I had the big chanche to teach other


people about some programmes that are useful and
easy to use. Also in this youth exhange I learned how to
understand other cultures. Also I learned that a different
culture has a different customs and tradition and we
may respect each other without prejudices and
stereotypes.

Our organization (PuzzleOptimEast NGO) promotes and


organizes local, national and international projects on the
field of youth, tourism, culture and management.

I wish that all the knowledge gained here to help me in my


personal development , knowledge, gained to help me find a
good job and also to apply my knowledge in NGO to solve
local community problems .

NGO support us all initiatives and activities undertaken,they


offer us the morally and financially support to put our ideas
into practice and also to explore our limits and creativity.

The will to win, the desire to succeed, the urge to reach


your full potential... these are the keys that will unlock
the door to personal excellence. Confucius

Please send the application form to the contact person from the partner
NGO from your country. For questions, dont hesitate to send us an email
at enas.ngo@gmail.com

Remember, this application will help the trainers and facilitators to better

shape the course according to the profile, the interests and the need of the
participants. So, please, fill all the boxes!
See you soon in Croatia!

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