ReMeDy: Ready to Mediate? Direction - Youth!   Application form
This is the application form for the Training Course with Partnership Building Elements: "ReMeDy: Ready to Mediate? Direction - Youth!" which will take place in Rustavi, Georgia  24th-30th of November 2019 (arrival day 23rd of November, departure day 1st of December). Please fill in this application form by 25th of October.

ReMeDy
is a project for youth workers, educators, trainers, volunteers, NGO members who work with young people on a daily basis and would like to develop skills connected with mediation as a method of Alternative Dispute Resolution.

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Personal data
Name *
Surname *
Place of birth (Country) *
Date of birth *
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Nationality *
Place of residence *
Representing organisation *
Your role in your sending organisation *
Sex *
E-mail *
Phone number *
Person to be called in case of emergency
Name and surname *
Relativity *
E-mail *
Phone number *
Language
What is your level of English *
Special requirements
Do you have any special needs or dietary requirements that the host organisation should know about? (E.g. mobility, medical needs, allergies, dietary restrictions, smoker/non smoker etc.)
Youth work and mediation- motivation and experience
Please answer the following questions:
What is your experience in youth work? *
What kind of conflicts did you face during your work with young people? *
What is your motivation to take part in this project? *
What is your experience Erasmus+ Youth sector projects? *
Who is your target group? How do you work together?
Regarding the topic of mediation, what do you expect to learn? Is there any issue you are more interested in? *
How would you like to use the knowledge and skills you gain from this project in your future private and professional life? *
How will this project benefit your target youth group? *
At his moment, to what extent are you willing to engage in future projects on the topic of mediation? Have you already had any ideas? If yes - share them with us (We don't take it as a commitment).
I declare participation in the entire Training Course in Georgia (23.11.2019 - 01.12.2019), and local activities (dissemination of the results of the project, workshops and  mediation activities with young people). *
Required
By sending this form I hereby give consent for my personal data included in the application form to be processed for the purposes of recruitment under  Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation *
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