DU GRAIN A MOUDRE - TC ERASMUS+ - LET'S TALK ABOUT SEX
In order to apply - please fill in the form.

TC 1 - FRANCE - CORNUS (SOUTH OF FRANCE) - 20/09/2023 - 28/09/2023 (Travel days included)
TC 2 - PORTUGAL - AZORES (PONTA DELGALA) - 22/10/2023 - 29/10/2023 (Travel days included)


DEADLINES :

FRENCH PARTICIPANTS : 30/06/2023

INTERNATIONAL PARTICIPANTS : 30/07/2023


IMPORTANT INFORMATIONS:

- The fullfilment of the application form is not an engagement, please wait the answer of Du Grain à Moudre team to validate your participation

- Priority will be given to participants available on both trainings.



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GENERAL INFORMATIONS
NAME / LAST NAME
*
DATE OF BIRTH
*
MM
/
DD
/
YYYY
GENDER
*
COUNTRY OF RESIDENCE
*
POSTAL ADRESS
*
E-MAIL
 *
PHONE NUMBER (Please add the international calling code)
*
EMERGENCY CONTACT (Name, e-mail, phone number)
 *
MOTIVATIONS / EXPERIENCES
ORGANIZATION I'M REPRESENTING
*
WHAT'S YOUR ROLE IN YOUR ORGANIZATION
 *
ARE YOU AVAILABLE FOR BOTH TRAINING?


TC 1 - FRANCE - CORNUS (SOUTH OF FRANCE) - 20/09/2023 - 28/09/2023 (Travel days included)

TC 2 - PORTUGAL - AZORES (PONTA DELGALA) - 22/10/2023 - 29/10/2023 (Travel days included)
WHAT'S YOUR EXPERIENCE AS A YOUTH WORKER?
*
WHAT'S YOUR LINKS / EXPERIENCES WITH THE TRAININGS THEMATICS?
*
WHAT ARE YOUR EXPECTATIONS TOWARDS THE PROJECT?
*
PLEASE DESCRIBE BRIEFLY YOUR EXPERIENCES THROUGH ERASMUS+
*
CAN YOU THINK OF A TOOL/METHOD THAT YOU'D LIKE TO SHARE ?
*
SPECIFIC REQUIREMENTS
SPECIFIC DIET (vege, vegan, hallal, allergies...)
*
ANY OTHER SPECIAL NEEDS?
 *
LAST BUT NOT LEAST
GDPR MENTIONS - By checking the box opposite, I accept that my data will be transmitted to Du Grain à Moudre only for my contact needs (*). *
Required
IMAGE LEGAL MENTIONS : I authorize Du Grain à Moudre to use my image (photographs and/or videos taken by the organization) and/or my voice, in particular to record, broadcast and exploit it during events and actions to disseminate the project. *
Required
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