2021-1-PT02-ESC51-VTJ-000037311 "Solidarity, yes we can...”
European Solidarity Corps - long-term volunteering
ESC dates: 2023
Venue: Arrouquelas, Portugal

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PARTICIPANT INFORMATION
Name *
Surname *
Gender *
Date of birth *
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Full address *
Citizenship *
Current country of residence *
Email address *
Mobile phone number *
Links to your social media profiles (Fb/IG) *
How/where exactly did you find your ESC position/placement? *
Your European Solidarity Corps (ESC) referrence number *
Emergency contact (first name, surname, phone number, email address, languages spoken), relationship to you (e.g. brother) *
Passport expiry date: *
MM
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DD
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YYYY
What will be your departure city to the project? *
Please let us know whether you have any fewer opportunities (social, economic, cultural, educational, geographical, disabilities, etc.). More information about fewer opportunities can be found here: https://www.salto-youth.net/tools/otlas-partner-finding/help/young-people-with-fewer-opportunities/
Special Needs: *
Required
If you are allergic to something, you are taking a certain medicine, or you have reduced mobility, etc., please let us know here
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