Application form for the Youth Exchange "Back to nature"

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Dates: 14-22 of May 2022

Rathen
(Elbe Sandstone Mountains)
Germany

Your name *

Your surname *

What country do you live in? *

What city do you live in?

Your gender *

Female

Male

Diverse

Other:

Date of birth *

YYYY

Please tell us something about yourself *

Why would you like to participate in this project? *

How do you think you can use knowledge and experience gained at the project? (Please be specific on the topic) *

Have you participated in Erasmus+ projects before? If so, where and what was the topic? *

What is your level of English *

Very bad (I read this application with Google translate and I don't understand a thing)

Bad (I can understand some words and sometimes I say sentences like "London is the capital of great Britain)

So-so (I can explain basic thoughts to foreigners and understand a little of what they say)

Good (I can express most of my thoughts in English and understand most of the things foreigners say)

Expert (You have mistakes in this form!)

Special diets and needs: (vegetarian, religious diets, allergies, physical limitations) *

Are you vaccinated against COVID-19? *

Yes - 2 shots (EU approved vaccine)

YES - 3 shots (EU approved vaccine)

YES - but with vaccine which isn't approved by the EU

I have valid recovery certificate

Another

Other:

Your Facebook profile link

Your e-mail, please *

And very last, your phone number *

Have you followed us on social media yet? IG: lernlabor.berlin FB: lernlaborberlin *

Yes

I agree for processing of my personal data according to German and EU laws (GDPR-Regulation EU 2016/679) *

Yes

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