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Application form "Lab for Development and Testing of Social Entrepreneurship Education Tools"
Chisinău / Rîșcova, Moldova
November 1 & 10 are travel days.
For additional information please read the infopack:
https://docs.google.com/document/d/1sbLCwB88cNNu5OUSxARCeYE6JRZWCJ7uJ1V933arx7A/edit?ts=5d91bc65
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PLEASE COMPLETE THE APPLICATION FORM BEFORE 22.10.2019 (only for Moldova)
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Email
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Your email
Full Name
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Your answer
Date of Birth
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What is your Gender?
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Female
Male
Other:
Country of Residence
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Your answer
E-mail
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Your answer
Your Occupation (for example: trainer, student, coordinator, freelancer, job-seeking and so on)
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Your answer
Your Affiliation (for example: your university, organization, field of activity and so on)
Your answer
What is your connection to Social Entrepreneurship? (please describe briefly your experience in SE field)
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Your answer
Have you ever developed tools, methods, curriculum or any other related materials for educators in Social Entrepreneurship field or held any educational sessions on this topic? (if yes, please briefly specify what tools)
Your answer
What tools / methods / topics would you like to work with and why?
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Your answer
What can you contribute and what are your expectations from the training?
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Your answer
Does your participation entail any special requirements that must be taken into consideration by the organizers?
Meals at the venue are vegetarian by default
Vegan
Allergies
Physical challenges
Other:
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Do you have any additional questions or comments?
Your answer
Please confirm your serious participation commitment
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In case you are selected for the lab you realize that keeping a participation spot for you means bookings (accomodation, food, travel) made for you by the organizers.
I hereby confirm serious participation commitment
I am registering just to show interest, but not sure if will really be able to attend
Other:
Agreement on processing your personal data
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By submitting this form, I consent to having my personal data collected, stored and processed by the organizers
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