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Youth Exchange “COVID-19 – What now?”
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* Indicates required question
Name and Surname
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Gender
*
Male
Female
Prefer not to say
Home address
*
Your answer
City:
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Your answer
Phone
*
Your answer
E - mail
*
Your answer
What is your English level?
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Beginner
Elementary
Intermediate
Advanced
Have you already attended any other youth events before (youth exchanges, training courses, seminars etc.) Please describe your experience.
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Your answer
Any specific needs that we would need to know about (food, mobility, language or sensory issues etc.)
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Your answer
Emergency contact person
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Name // phone number
Your answer
Are you part of some organization? If yes, how long have you been involved in your organization and what have been your roles and tasks?
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Your answer
What is your motivation for taking part in this project?
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Your answer
What do you expect to gain from this project? Please give us the 3 most important outcomes of this project for you personally.
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Your answer
If you have anything to add to your application, feel free to write it here
Your answer
Have you been vaccinated for COVID-19? If yes, specify with which vaccine?
*
Your answer
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.
*
Yes
No
I would like to receive the latest news regarding mobility opportunities by being subscribed with my e-mail address to the organisation's newsletter.
*
Yes
No
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