The Inclusionist: Application Form
Youth Exchange
Durres, Albania
September 17-25, 2021 (travel days included)

Applicants should be citizens or legal residents of Albania, Italy, North Macedonia, Romania or Serbia.

Project webpage: https://theinclusionist.eu
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Please fill out the form using ONLY the Latin alphabet, WITHOUT DIACRITICS. Fields marked with * are mandatory.
First name: *
Last (Family) name: *
Gender: *
Date of birth: *
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DD
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City of birth: *
Country of birth: *
City of residence *
Country of residence: *
Phone number (please include country code, e.g. +40722...): *
E-mail address: *
Your level of English: *
How many Erasmus+ projects did you attend? *
You apply as a: *
In case you apply as a youth leader or an accompanying person, please let us know what is your experience in working with young people with visual impairment?
What is your motivation to participate to this youth exchange? *
In case of an emergency, who should we contact on your behalf? *
Do you have any special needs, dietary requirements, allergies or anything else that the host organization should know about?
Regarding COVID vaccination, are you already vaccinated?
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In case you would like to add something, here is the right place:
Conditions of Participation: *
Required
Data Protection (GDPR): *
Required
THANK YOU
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