INSPIRIT PROJECT 2020: Application form

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1st step: CAMPLEADER TRAINING, 7-10 May 2020, Poggio Mirteto (RI)
2nd step: CAMPLEADING of one of the international workcamps in ITALY in summer 2020 (2 weeks)
3rd step: EVALUATION MEETING 09 -15 October 2020, Germany

FIRST NAME: *

SURNAME: *

GENDER: *

Male

Female

Other

DATE OF BIRTH: *

PLACE OF BIRTH (town, country): *

RESIDENCE ADDRESS (street, town, country): *

MOBILE NUMBER: *

E-MAIL: *

EMERGENCY CONTACT (name, surname, phone number, relation): *

Are you a university student? *

YES (please specify below the University you're studying at):

Other:

SPECIAL NEEDS OR HEALTH REMARKS (vegetarian, vegan, intollerant, allergic...): *

PLEASE INDICATE THE LEVEL OF YOUR SPOKEN ENGLISH LANGUAGE (1=NONE, 5=FLUENTLY) *

English

Other languages spoken:

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