Application "Make A Change"
This is an application form for Erasmus+ youth exchange "Make A Change", in Ukraine, 19-28 November 2019.

Please read carefully all the questions and take your time to answer in detail.

Infopack: http://abroadship.org/youth-exchange-make-a-change-ukraine/ and if you have any questions, feel free to contact at hello@abroadship.org.

Your application data is protected in accordance to The Data Protection Act 2018.
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First Name: *
Surname: *
Email *
Gender: *
Full address: *
Number of the apartment, street, post code, city, country
Country of residence: *
Nationality: *
Facebook profile link address: *
Facebook will be used for communication purposes - you will be invited to a Facebook group
Date of birth *
MM
/
DD
/
YYYY
Age at the beginning of this youth exchange *
Mobile number: *
Study or Occupation: *
Are you with fewer opportunities? *
Required
Diet | Allergies | Special Needs: *
Contact person in case of emergency: *
Full name, address, phone number, relationship with you
How did you find out about this opportunity? *
Name a place or / and a person who / where you got to know about this opportunity.
FOCUS QUESTIONS
What is your motivation to join in "Make a Change"? *
How do you expect to improve by participating in this event? *
What would you like to share / contribute in this project with other participants? *
International experience until now: how many Erasmus+ projects you have participated in so far? *
Please describe International experiences if you had any and what was your biggest learning? *
5 minute task now: please create a small campaign on "Make a Change" theme and post a link here:
You can use social media (Facebook, Instagram, etc.), personal website, blog, other creative ways. Please tag @abroadship and use #makeachange and for us to follow your campaign and make it more visible and seen by local community.
Please share a song that reflects you at this moment.
Other remarks:
Agreement
By submitting this application I acknowledge the following conditions:

1. I will come fully prepared (will read infopack and materials sent by organisers).

2. I will take part full duration of the programme. I acknowledge that this youth exchange is a learning process and not a holiday, therefore I am committed to work on my development and manage my own learning, supported by the facilitators and peers. Reimbursement will take only if I participate in full duration of the programme.

3. I will take part in the post project activities: preparation, participation, filling the evaluation form and disseminate the results.

4. I agree that group photos and videos (where 2 or more participants are visible) taken in the project can be fully used in any material by Abroadship.org.

5. I take full responsibility for my own insurance. I understand that the information provided on special needs does not remove my personal responsibility for ensuring my own health.

6. I agree with all conditions stated in the information package on Abroadship.org.
Commitment *
Required
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