🆕Application form ESC Vitality 2024 

Dear applicant, by filling in this form you are applying for the European Solidarity Corps project "Vitality" that will happen in Bergolo (Italy) from July 2024 for a period of 12 months.

By filling this form you declare that you have fully read and understood the content and the conditions of the webpage of the project: https://www.newellnesseducation.com/vitality-esc-2024  

☀️  The selection will happen in two steps:

1st: we will choose the applications that will look to us more motivated and pro-active, in line with the aim and method of the project. We recommend you to take your time and carefully fill in this application form.

2nd: with the chosen applicants we will organize some video calls to get to know each other, take the final decision and confirm the volunteers

DEADLINE FOR THE APPLICATION: ASAP, fitting candidates will be confirmed on the go
Sign in to Google to save your progress. Learn more
Email *
Country of residence *
The country where you are officially living
Name 
*
Surname *
Date of birth *
MM
/
DD
/
YYYY
Your age  *
Place of birth
*
Write the name of the city and of the country
Nationality
*
Do you need a VISA to live in Italy for a period of 12 months?
*
Your gender
*
Address of residence 1
*
write the name of the street/square and the number
Address of residence 2
*
write the ZIP code and the name of the city
Email contact
*
Mobile Number *
What is your current occupation?
*
Tell shortly also about your studies
*
What is your level of English?
*
What is your level of Italian?
*
Do you speak other languages? What is your level?
*
Do you have any physical limitation?
*
If yes, please explain what it is and how it is limiting you (what you can do and what you can't do because of it). Ex.I have had a knee operation and cannot jump or run
Do you take any regular medication?
*
If yes explain what medication
Do you have a medical insurance valid in Italy?
*
ex. the European Health Card
Contact in case of emergency
*
Write the name, surname, phone number and what relation this person has with you (ex. parent/sibling/relatives etc)
Do you consider that in your life you face some of the following difficulties:
*
Required
In case you selected one of the previous boxes, do you need any support in order to fully express yourself, ensure your psyco-physical and emotional wellbeing, your pro-active attitude during the 12 months volunteering?
*
Please explain how can we support you
Tell us more about you! 
Record a video of you, answer the following questions and upload the video somewhere (Drive, YouTube or other), then copy here the link. The video need to be minimum 2 minute and maximum 4 minutes. 
Questions: 
1 - Why do you want to participate in this specific ESC project? 
- What do you want to improve or learn during Vitality volunteering program? 
3 - Do you have previous experiences in non-formal education? Ex. participating or organizing workshops for young people, being involved as participant or leader in Erasmus youth exchanges or trainings. Share about them and about their methodology. 
4 - Are you experienced in manual works? What can you do? [ex. I can paint a fense; I can build a table; I can plant a tree] 
5 - Which of your talents/knowledge/experiences could you share with New Wellness and other volunteers that could contribute to our work?
*
How do you expect to use what you will learn in this ESC project when you will go back home?
*
Select the boxes that apply to you
*
Required
How did you find out about this project?
*
Do you have already a specific Sending Organization from your country that you would like to support you in this experience?
*
If you got the information about the project from any entity (face to face, through newsletter, through a social media post...), write the name of the entity down here
Do you have a car driving licence? Do you drive regularly?
*
Is there anything else that you want to add? (optional)
I hereby declare that all the above information are true and correct to the best of my knowledge. By submitting this application I confirm that I have read and understood the information written in the web page of the project: https://www.newellnesseducation.com/vitality-esc-2024 and the conditions of volunteering of Vitality European Solidarity Corps program and I know and accept the conditions of participation. I commit myself to take part for the full duration of the activity and to participate in the whole evaluation process; in case I will break this commitment I will renounce to the travel reimbursement. I understand that the information I provided on my special needs does not remove my own personal responsibility for ensuring my own health. I understand and agree that the project may be photographed/filmed and used for publications on websites and social networks to provide visibility to the project, the organizations and the public bodies involved in it.
*
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy