Training Course "Power to You(th)
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Name and Surname *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Home address *
City: *
Phone *
E - mail *
Emergency contact person *
Name // phone number
What is your English level? *
Give a brief description of the activities of your organisation and your role within the organisation. *
Describe the target group that you work with (age range, numbers, how often you meet, what challenges the young people face, main activities you do with the young people). *
Describe how young people are involved in your organisation (activities, decision making, responsibilities). *
Do you support young people to reflect on their learning during activities? Yes / No If yes, please describe briefly. *
What previous experience do you have with Erasmus+ (e.g. National/International, As a participant/ As an organizer/ As a facilitator, Themes)? *
What do you want or need to learn in this course? *
How will you use your learning outcomes from this training course? *
Any specific needs that we would need to know about (food, mobility, language or sensory issues etc.) *
If you have anything to add to your application, feel free to write it here
I am hereby giving my consent to Center for Intercultural Dialogue and its partners to use photos, videos  and/or statements of me for reporting and dissemination purposes. *
I would like to receive the latest news regarding mobility opportunities by being subscribed with my e-mail address to the organisation's newsletter. *
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