Name and Surname *
Email *
Link to your FB or IG (If you do not have one, please let us know.) *
Which town or village do you come from? *
Which town or village do you live now? *
Gender *
Date of Birth *
Current occupation status (student, employed, unemployed,...) *
Name of the school or employer *
Field of work or study *
Phone number *
Emergency contact - number, name, relationship (mother, father, brother,....) *
Have you ever participated in some other youth exchange or educational event abroad? *
If yes, on how many?
Are you part of any organization, youth centre, club, association or are you in a regular contact with youngsters? If yes, please write us more. *
What is your motivation to participate in the project? (Max 100 words) *
How do you think you will use the new knowledge from project in the future or your daily work? *
Do you think you belong to youth with fewer opportunities - higher chance of selection (e.g. member of minority, LGBT community, from rural area, from disadvantaged background, person that face stereotypes?) *
Are you vaccinated? (Participants will not be chosen by this matter, this information just help us to follow the procedures with traveling) *
I hereby confirm, that I give permission to organization ADEL – Association for Development, Education and Labour to process provided personal data in this form for the purposes of the selection of participants (more information: https://www.adelslovakia.org/ochrana-osobnych-udajov) *
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