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

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

ANTIDOTE: Alternative Narratives for Tolerance and Intercultural Dialogue to Overcome Stereotypes and Spread Equality — kick-off meeting

Europe for Citizens, Strand 1 "European Remembrance", Kick-off meeting of a multi-phase project
Venue: Lucca, Toscany, Italy
Kick-off meeting: 18—21 October 2021

APPLICANT INFORMATION

Name *

Surname *

Gender *

Date of birth *

YYYY

Age at the time of the project: *

Citizenship *

Full address *

Current country of residence *

Region: *

Email address *

Mobile phone number *

Facebook/social media profile link: *

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

YYYY

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 let us know your Covid-19 vaccination status *

By the start of this project I will have received both doses of Covid-19 vaccine and more than 14 days will have passed since my second dose

By the start of this project I will have only received one dose (of a two-dose vaccine)

By the start of the project I will not have received any Covid-19 vaccine

I do not wish or intend to get vaccinated

I will be fully vaccinated with a single dose (Johnson & Johnson) vaccine and at least 14days will have passed since my vaccination and the start of this project

Other:

Please tell us if you find yourself in any of the following categories:

Please tell us if you find yourself in any of the categories listed above: *

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?

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms