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Mobility of youth workers - Partner CountriesApplication Form
-Poland-
PERSONAL INFORMATION
Name and surname Date of birthHome address Gender
NationalityEmailMobile telephone
PASSPORT /ID DETAILS
Passport/ID number Issue DateIssued by (place) Expiry DateDo you need a visa to travel to Poland? YES NO
EMERGENCY CONTACT DETAILS
Name and surname Telephone numberRelationship to you E-mail
SPECIAL REQUIREMENTS
Dietary requirements (e.g. vegetarian, gluten free, halal, etc.)Mobility issues Medical conditionsOther
ADDITIONAL INFORMATION FOR THE ISSUING OF YOUTH PASS RECOGNITION
Place of birth (town) Country of birthCountry of residence
Your name as you would like it to appear on your certificate
ORGANISATION DETAILS
Name of organisation Group of the European Youth for ChangeOrganisation address (To be completed
by GEYC)Your role in the organisationWebsite www.geyc.ro Email [email protected] number (To be completed by
GEYC)Contact person Ana Maria LULEA Contact person
e-mail [email protected]
ORGANISATION SHORT DESCRIPTION
1 What do you do in your organisation2 Your international youth work experience including Youth in Action
APPLICATION QUESTIONS
...ABOUT THE COURSE
What is your motivation for applying to this project?
What positive contributions will you make to the group/week?
What do you expect to take away from this training course in terms of learning?
Please explain how this training course may help you and your organisation in the future.
... ABOUT YOUR LANGUAGES
What is your mother tongue?
How many languages do you speak?
Please specify.
Where would you place yourself Looking at the Common European Framework (CEF):http://www.wlv.ac.uk/pdf/lssc_wlp_cefr.pdf
Do you use your mother tongue to communicate on a daily basis, if not, what language(s) do you use?
What is the most difficult thing for you when communicating in English to native speakers and non-native speakers of English?
... ABOUT YOU PERSONALLY
If you have the power to make changes in your country, what is the first 3 things you will change?
What is the most interesting place you have visited and why?
Who is the most inspiring person for you and how did he/she influenced your life?
... AND FINALLY
What makes you a good participant for this training course?
Are you a member of GEYC Community?Facebook profile: (link)
Deadline for sending the application: 14 May 2015To whom: [email protected], subject [TC-Poland]
By 23th of May: selection of participants, notifications and confirmations (paying the participation fee - please notice that the participation fee is non-reimbursable).Note: if you won't receive an e-mail by 23th of May, it means that we found other suitable candidates for this project.
Good luck!
