ANTIDOTE: Alternative Narratives for Tolerance and Intercultural Dialogue to Overcome Stereotypes and Spread Equality

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ANTIDOTE: Alternative Narratives for Tolerance and Intercultural Dialogue to Overcome Stereotypes and Spread Equality - 4th meeting: Gdansk, Poland

Europe for Citizens, Strand 1 “European Remembrance"
Venue: Gdansk, Poland
Dates: 22—25 May 2023

Before filling out this application form, please read carefully all available information about this project here: https://eycb.eu/antidote-4-setkani-polsko/

APPLICANT INFORMATION

Name *

Surname *

Gender (as it appears on your passport) *

Date of birth *

YYYY

Age at the time of the project: *

Citizenship *

Town/city (where you live) *

Current country of residence *

Region: *

Email address *

Mobile phone number *

Link to your social media profile *

Where/how did you find out about this project? *

Passport expiry date (if you do not own a passport, please do NOT apply for this project) *

YYYY

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

Other:

Required

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) *

Please provide us with an emergency contact details (name & surname, email address, phone number, languages they speak) *

Language abilities in English *

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

Address *

Website *

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? *

Please describe your organization briefly. What are the objectives, main activities and target group of your organization? *

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