Registration form - Erasmus+ international youth exchange " Your Passion - Your Future" in Poland from 16-22.06.2023
Please fill out the form with attention. All the information provided by the future participants is necessary for the best preparation of our youth exchange.
Infopack about the project and detailed information about the exchange can be found HERE:   https://drive.google.com/file/d/1bMS8ztpjp3JnMDx3KhJ-68sCOnlQv5K2/view?usp=sharing
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Email *
Name and Surname *
Contact phone number with country prefix:
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Date of birth
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DD
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YYYY
Country of residence
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City of residence: *
Contact of the responsible person/ legal guardian (name, phone number, relationship)
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Current profession or school grade
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What is your level of communication in English? (*remember: The answer to this question does not matter in the qualification for participation in the exchange, we need it to organize communication in English so that everyone can participate)
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Have you ever traveled abroad?
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Have you ever participated in an Erasmus + mobility (Or other international exchange)?


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Do you have any disabilities or special needs that we should know about and you want to tell us so we can help you during the exchange?


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Why do you want to participate in the project? 
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What do you expect to learn from this experience? 


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Do you have any  dietary restriction (allergies, intolerance, vege, vegan and etc)? *
What are your strengths, especially related to developing passions and interests, that you would like to boast about? 
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Write 3 words that you associate with the future international youth exchange "Your Passion - Your Future" in Poland *

Providing the above personal data is necessary in order to participate in this project. Below we present information on the processing of personal data by the Administrator.

Information on the processing of personal data (for participants / parents / legal guardians in connection with the implementation of project tasks). In accordance with the provisions of the law on the protection of personal data, we inform you that:

  1. The administrator of your personal data / your children is the Młodziezowy Dom Kultury nr 2 w Piekarach Śląskich  represented by the Director: Dobrosława Egner. Contact at: +48575020252 or by email: mdk2piekary@gmail.com

2. In matters related to the processing of your personal data, you can contact us via the e-mail address: mdk2piekary@gmail.pl and the project partners: L'Orma Italy and Shokkin Group Estonia.

3. Personal data will be processed in accordance with the requirements set out in applicable law in order to participate in the project organized under the Erasmus+ program.

4. Providing your personal data is a legal requirement and conditions your participation in the project.

5. The full content of information on the processing of personal data is available at: http://mdk2.piekary.pl/deklaracja-dostepnosci/klauzula-informacyjna-rodo/


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