Registration for Multiplier Event:  6. - 7. 12. 2023
Project No: 2020-3-CZ01-KA205-093981
Name of Project: Make Change Yourselves: Turning Challenges to Your Advantage!
Type of event: Multiplier event
Receiving organisation (name, address, country): Mezinárodní akademie pro diakonii a sociální činnost, střední a východní Evropa ,o.p.s., Dukelská 264/5 - 73701, Český Těšín - Czech Republic
Start / end date: 6. 12. 2023/7. 12. 2023

You are kindly asked to fill the form below at the latest by the 31th October 2023

Please note:

  • Your arrival is expected on the 5th December 2023 and the departure day is the 7th December 2023 after lunch (12:30 CET).
  • The Programme starts on 6th of December 2023 at 9.00 am.
  • Detailed travel and joining instructions will be sent separately
  • For partner organisations* in the project :
    • The organiser will provide accommodation including meals & reimburse 100% of your travel expenses on receipt of proof of travel and relevant receipts. 
    • If your travel costs are more than 200 € please contact Miroslav Sedláček BEFORE you book the travel tickets.
    • No participation fee will be charged.
*Partner organisations are: Diakonia-Ammattikorkeakoulu oy, Commissione Sinodale per la Diaconia, Slezska Diakonie, EELK Diakoonia- ja Ühiskonnatöö SA, Relevant n.o, Living Hope, ART, Nodibinajums Latvijas evangeliski luteriskas Baznicas Diakonijas centrs, Bractva u gonar Vilenskih muchanikau w g. Minsku
  • For non-partner organisation in the project :
    • The organiser will provide accommodation including meals & reimburse 50% of your travel expenses on receipt of proof of travel and relevant receipts.
    • If your travel costs are more than 200 € please contact Miroslav Sedláček BEFORE you book the travel tickets. You are asked to buy your ticket before the 31st October 2023.
    • Participation fee of 150 € will be charged.

In case of any questions, do not hesitate to contact Miroslav Sedláček
E-mail: projectcoordinator@interdiac.eu
Phone: + 420 739 341 316

Please note: sending the confirmation entitles the receiving organisation to receive European Commission grants. The data accuracy can be verified by DZS Czech National Agency for International Education CZ01.
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Name of participant: *
Name of your organization: *
E-mail of participant *
Number of your ID/Passport *
Your permanent address: *
Dietary preference (vegetarian, vegan etc.), or special needs (gluten free, allergens etc.) *
Your travel costs. Please specify in €. *
Your arrival (date, time, place, transport means) *
Place = airport, train station etc.
Your departure (date, time, place, transport means) *
Place = airport, train station etc.
Please give your mobile number in case of emergency (format: 00-your country code-your number) *
Place for your comments or questions (if you have any)?
GDPR - Persons taking part in this event will be registered in a document called ‘the list of participants’, which include their first and last names, mobile phone, e-mail address, ID/ passport information and all the details needed for the event organisation. At any time, you have the possibility to ask questions about the processing of this information. After this event all the private information (name and first name excluded) will be deleted. *
Required
Photography During the Event: We would like to take photographs during the event and use them in interdiac reporting about it. We ask for your permission beforehand. Please give your consent or otherwise below. *
Required
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