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Application Form "FACES"
Training Course, Cascais, Portugal - 21th - 28th April 2022
Please, answer properly the following questions in order to help us in arranging the TC in the best way. Thanks
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SENDING ORGANISATION
Name of your Sending Organisation + Country
*
Your answer
PERSONAL DATA
Name
*
Your answer
Surname
*
Your answer
Gender
*
Male
Female
Day of Birth
*
MM
/
DD
/
YYYY
Birthplace (Town - Country)
*
Your answer
E-mail address
*
Your answer
Mobile Phone (with your country code)
*
Your answer
Facebook profile
Your answer
EMERGENCY CONTACT
Name and surname of contact person
*
Your answer
Level of relation (indicate if father, mother, brother, friend, relative,..)
Your answer
Mobile phone
*
Your answer
SPECIAL NEEDS
Please, provide us NOW yur special needs about food and other. If nort specified here, it will be impossible to provide or change during the TC
Do you have any special needs (diet needs, mobility problems, health care, etc.)?
*
Your answer
Diet needs: Is there any food that you can not eat? ( Vegetarian, vegan, celiac, lactose, fish, etc..). Please tell us what. If nothing, write simply NO
*
Your answer
EXPERIENCE & MOTIVATION
Motivation: Why would you like to participate in this Project?
*
Your answer
Your previous experience in International Projects (how many, more significant experiences)
*
Your answer
Learning Needs: The Project is build on the participants learning and training needs. Please tell us what would you especially like to learn and/or practice during FACEASY.
*
Your answer
YOUR ENGLISH LEVEL
*
Poor
Sufficient
Good
Very Good
Excellent
TICKETS
Arrival time (Airport + date + time)
*
Your answer
Departure time (Airport + date + time)
*
Your answer
DECLARATION
I agree to read and respect all EU restritions for COVID-19
Yes
I will do my travel insurance for the dates of the TC in Portugal.
*
Yes
Required
I agree the coordinator and partners can take photos and use for promote the TC and Erasmus + Programme
Yes
No
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