JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Non-formal Education against Mental Illness Stigma
Erasmus+: Youth, Key Action 1: Training Course
Venue: Manastirea Humorului, near Gura-Humorului, county Suceava, Romania
Training Course dates: 1—10 April 2022
Sign in to Google
to save your progress.
Learn more
* Indicates required question
APPLICANT INFORMATION
Name
*
Your answer
Surname
*
Your answer
Gender
*
Choose
Female
Male
Date of birth
*
MM
/
DD
/
YYYY
Age at the time of the project:
*
Your answer
Citizenship
*
Choose
Czech
Slovak (and I live in Slovakia)
Slovak (and I live in the Czech Republic)
Other and I do have a valid residency permit in the Czech Republic
Other and I do NOT have a valid residency permit in the Czech Republic
Full address
*
Your answer
Current country of residence
*
Your answer
Region:
*
Choose
Hl. město Praha
Středočeský
Jihočeský
Plzeňský
Karlovarský
Ústecký
Liberecký
Královéhradecký
Pardubický
Kraj Vysočina
Jihomoravský
Olomoucký
Moravskoslezký
Zlínský
Not applicable, I do not live in the Czech Republic
Email address
*
Your answer
Mobile phone number
*
Your answer
Facebook/social media profile link:
*
Your answer
Passport expiry date (if you do not own a passport, please do NOT apply for this project)
*
MM
/
DD
/
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)
*
Your answer
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:
*
Your answer
Language abilities in English
*
A1 (Beginner)
A2 (Elementary)
B1 (Intermediate)
B2 (Upper-Intermediate)
C1 (Advanced)
C2 (Proficiency)
Listening
Speaking
Reading
Writing
A1 (Beginner)
A2 (Elementary)
B1 (Intermediate)
B2 (Upper-Intermediate)
C1 (Advanced)
C2 (Proficiency)
Listening
Speaking
Reading
Writing
This training course is aimed at youth workers with at least one year experience in youth work. 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
*
Your answer
Address
*
Your answer
Website
*
Your answer
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?
Your answer
Please describe your organization briefly. What are the objectives, main activities and target group of your organization?
*
Your answer
What is your role in this organisation (please describe your work/activities, target group, etc.)
*
Your answer
Next
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