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She/He/Us
Erasmus+: Youth, Key Action 1: Training course
Venue: Antalya, Turkey
Training course dates: 18
—27 February
2023
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Más información
* Indica que la pregunta es obligatoria
APPLICANT INFORMATION
Name
*
Tu respuesta
Surname
*
Tu respuesta
Gender (as it appears on your passport)
*
Elegir
Female
Male
Date of birth
*
DD
/
MM
/
AAAA
Age at the time of the project:
*
Tu respuesta
Citizenship
*
Elegir
Czech
Slovak (and I live in Slovakia)
Slovak (and I live in the Czech Republic)
Other and I do have a valid residency permit in the Czech Republic
Other and I do NOT have a valid residency permit in the Czech Republic
I am a Ukrainian citizen and I have been granted temporary protection in the Czech Republic
Full address
*
Tu respuesta
Current country of residence
*
Tu respuesta
Region:
*
Elegir
Hl. město Praha
Středočeský
Jihočeský
Plzeňský
Karlovarský
Ústecký
Liberecký
Královéhradecký
Pardubický
Kraj Vysočina
Jihomoravský
Olomoucký
Moravskoslezký
Zlínský
Not applicable, I do not live in the Czech Republic
Email address
*
Tu respuesta
Mobile phone number
*
Tu respuesta
Link to your social media profile
*
Tu respuesta
Where/how did you find out about this project?
*
Tu respuesta
Passport expiry date (if you do not own a passport, please do NOT apply for this project)
*
DD
/
MM
/
AAAA
Does any of these apply to you? *We wish to give equal opportunities to everyone. If you face any obstacles, please indicate, so we can also ensure diversity in our group.
*
You face geographical obstacles: You live in rural area (countryside), dangerous area in city or in any other way face geographical obstacles
You face cultural differences: You are minority, immigrant/refugee or descendant from immigrant or refugee families. This includes young people belonging to a national/ethnic minority.
You face economic obstacles: You are unemployed or struggle with your finances (low income). You may be dependent on social welfare system.
You are not in education/employment or training (NEET)
You have a disability/special needs: you are a young person with mental (intellectual, cognitive, learning), physical, sensory or other disabilities
You have a health problem: you are a young person with chronic health problems, severe illnesses or psychiatric conditions
You face social obstacles: You are a young person facing discrimination because of gender, age, ethnicity, religion, sexual orientation, disability, etc.
You face educational difficulties: You may be a young person with learning difficulties, an early school leaver, a young person with poor school performance
None of the above
Otros:
Obligatoria
Do you have any special needs or requirements that the host organization should know about? (E.g.mobility, medical needs, allergies, dietary restrictions such as vegan)
*
Tu respuesta
Please provide us with an emergency contact details (name & surname, email address, phone number, languages they speak)
*
Tu respuesta
Please let us know your vaccination status against Covid-19 will be by the the start of this training course:
*
I will hold a valid Covid-19 certificate at the time of this project. I will be fully vaccinated with a two-dose vaccine. Fewer than 180 days passed since my 2nd vaccination and the start of this project
I will be fully vaccinated with a single-dose vaccine (Johnson&Johnson). Fewer than 180 days passed since my vaccination and the start of this project
I will NOT have a valid Covid-19 certificate. I was vaccinated in the past but more than 180 days passed since my vaccination and the start of this project.
I do not intend to be vaccinated
I have recovered from Covid-19 disease (and I have a certificate proving so). It will have been fewer than 180 days since my first positive Covid-19 PCR test and the end of this project. I will hold a valid Covid-19 certificate at the start of this project.
I will have received my booster/3rd dose by the start of this project. I will have a valid Covid-19 certificate for the duration of this project.
Otros:
Language abilities in English
*
A1 (Beginner)
A2 (Elementary)
B1 (Intermediate)
B2 (Upper-Intermediate)
C1 (Advanced)
C2 (Proficiency)
Listening
Speaking
Reading
Writing
A1 (Beginner)
A2 (Elementary)
B1 (Intermediate)
B2 (Upper-Intermediate)
C1 (Advanced)
C2 (Proficiency)
Listening
Speaking
Reading
Writing
ORGANIZATION INFORMATION: Please tell us about your ORGANIZATION, i.e., the (non-profit non-governmental) organization that you actively work/volunteer for, IF ANY). Please leave BLANK (empty) if you are NOT active in any non-profit non-governmental body]:
Name of organization
Tu respuesta
Address
Tu respuesta
Website
Tu respuesta
What are your roles (volunteer, youth worker, board member, director ...) and your tasks? Please tell us how long you have been involved in youth work?
Tu respuesta
Please describe your organization briefly. What are the objectives, main activities and target group of your organization?
Tu respuesta
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