Baltic Regional Summer AcademyBUILDING SAFE AND INCLUSIVE SCHOOLS FOR ALL

28th June – 1st July 2018Estonia

organised in cooperation with the Ministry of Education and Research of the Republic of Estonia, the Estonian Institute of Human Rights and the European Wergeland Center, Norway

APPLICATION FORMThis form must be completed in WORD format and returned by e-mail by 25 March 2018

to Kai Reinfeldt, email: kai.reinfeldt@eihr.ee

Team leaders of the successful teams will be notified to the e-mail address provided in the application by 10 April 2018

Country of Applicant Team:

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Team Leader (choose one of 3 team members)Full name: ………………………………….. Phone: (with a country code).…………………………

CONTACT e-mail: ……………………..

Part 1 – general information

Information about the team of 3 members:

School Head/ Deputy Head :

Surname:......................................................................... First Name :................................................................................

E-mail:………………..……… Phone:.……….………………….……… If you have attended other trainings on democratic citizenship and/or human rights education, please list them here:

Do you have previous experiences in working with EDC/ HRE? If so, please describe them shortly.

Teacher :

Surname:………………................................................First Name:..................................................................................

Teacher of (subject): .....................

E-mail:………………..……… Phone:.……….………………….………

If you have attended other trainings on democratic citizenship and/or human rights education, please list them here:

Do you have previous experiences in working with EDC/ HRE? If so, please describe them shortly.

Student:

Surname:……………….....................................................First Name:.............................................................................

Age: .....................

E-mail: ………………..……… Phone: ..……….………………….………

If you have attended other trainings on democratic citizenship and/or human rights education, please list them here:

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Or NGO representative:

Surname:……………….....................................................First Name:.............................................................................

Age: .....................

E-mail: ………………..……… Phone: ..……….………………….………

Work focus of NGO:

Experiences with citizenship and human rights education:

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Or Other member of school community (parent, representative of local municipality, local organisations and business and other):

Surname:……………….....................................................First Name:.............................................................................

Age: .....................

E-mail: ………………..……… Phone: ..……….………………….………

Your relation to the school:

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Experiences with citizenship and human rights education:

Information about the school:

School Name, type and age range of pupils:................................................................................................................................................................................

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Address: .........................................................................................................................................................................

Phone. ...................……… E-mail:...............................Website:..................

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Part 2 – additional information

Before answering questions, please discuss your answers in your team. Keep in mind to be short and precise in your answers!

1. What is your motivation to participate in the Summer Academy   ? (100 words max.):

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2. What are your ideas for implementation and dissemination upon returning to your school and local community   ? (100 words max.):

3. In order to tailor the training program to your needs we would like you to reflect on the situation in your school:

Vision:What school culture do you want to promote in your school through your participation in the Academy?

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Experiences:What has your school done/ how has your school worked in relation to the topics covered by the Academy?

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Challenges: Do you have any challenges/daily problems related to training topics offered by the Academy. If ‘yes’, please specify.

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Part 3 – commitment

We are aware that the Summer Academy is an intensive training programme and includes the development of a EDC/ HRE project that will be implemented in our school in the school year 2018-2019. That is why we declare our readiness to participate actively during the whole duration of the educational course, including preparatory tasks in May/ June 2018, the residential seminar 28th June – 1st July 2018, and the 9 months online follow-up from September 2018 to May 2019.

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Date, place: ...…………………………….......……..

School Head’s Signature: ....…………....….……….

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