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#CHEER - Application form
PLACE AND DATE:
Райча, Полша, 02.07.2022 – 10.07.2022
PARTICIPANTS:
1 leader + 6 youngsters in age 15-18 (no age limit for the leader)
LANGUAGE:
The official language of the project is English.
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Email
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Your email
Your name and surname (exactly as appears in your ID/passport):
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Your answer
Date of birth:
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MM
/
DD
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YYYY
Gender:
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Female
Male
Undefined
Phone number:
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Your answer
Living in/travelling from (city):
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Your answer
Rate your level of understanding/speaking English language:
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Poor
1
2
3
4
5
Excellent
Are you member of any organization? Clarify which one?
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Your answer
Do you have previous experience in the field of non-formal education?
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Your answer
Why do you want to participate in the #CHEER mobility? What do you expect to gain professionally and personally from it?
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Your answer
Specify any food requirements that you have (food alergies, preferencies, ect...) or any special needs (mobility, medical condition, ect...). Otherwise leave blank (use n/a)
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Your answer
Emergency contact person. Please give name, phone number and e-mail of your emergency contact. Include the country code (e.g. +32 for Belgium)
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Your answer
Additional information and comments:
Your answer
With the present application in #CHEER YE, I declare that:
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I hereby commit myself to participate in the whole process of this course including remote preparation and the activities that needs to be implemented after the YE.
I am aware of all the details of this YE, including the conditions for application process, my participantion and financial details.
I am aware that obtaining a full travel insurance is my own responsibility and at my own expenses. I understand that the information I provided on my special needs does not remove my own personal responsibility for ensuring my own health.
Accommodation/subsistence costs of each participant will be paid by the hosting organization and with the present application, the participant confirms its ability to participate in the mobility in the mentioned period. If in any case the participant can not travel with the group, he/she has to return to the hosting organization all occured costs for his/her participation.
I have informed about all food requirements that I have (food alergies, preferencies, ect...) or any special needs (mobility, medical condition, ect...)
By signing this form I allow the Bulgarian sports development association /Personal Data Administrator/ to process the personal data provided in this form for the purposes of the present project and to use of the photos/videos from the event in which I participated for the promotion of project activities.
I am providing my personal data willingly to the sending and hosting organizations and allowing them to use the personal data in all needed project means.
I am allowing the sending and hosting organization to make pictures of myself during the project activities and to use those pictures for project dissemination and visibility.
With sending this file, I am accepting all the conditions of the mobility I am applying to and I am committed to follow the Erasmus+ Programme rules.
I will comply with all current COVID-19 requirements before, during and after the mobility and if testing or other action is needed for my participation, I will ensure that all needed actions are accomplished.
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