Change Places, Change Lives

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“Change Places | Change Lives” is aiming to develop youth workers/leaders competences in the field of migration to give them proper tools and methods to help young people to adapt with the situation of high migration level in all its aspects.

Venue: Velden am Wörthersee, Austria
Dates: 13—21 December 2021
Programme & action: Erasmus+ Youth, training course

APPLICANT INFORMATION

Name *

Surname *

Gender *

Date of birth *

YYYY

Age at the time of the project: *

Citizenship *

Full address *

Current country of residence *

Region: *

Email address *

Mobile phone number *

Please let us know about your Covid-19 vaccination status: *

I will be fully vaccinated with a two-dose vaccine. At least 14 days will have passed since my 2nd vaccination and the start of this project

I will be fully vaccinated with a single-dose vaccine (Johnson&Johnson). At least 21 days will have passed since my vaccine and the start of this project

I will only have received the first vaccine (of a two-dose vaccine)

I do not intend to be vaccinated

I have recovered from Covid-19 disease (and I have a certificate proving so). It will have been fewer than 180 days since my first positive Covid-19 PCR test and the end of this project.

Other:

Facebook/social media profile link: *

Passport expiry date (if you do not own a passport, please do NOT apply for this project) *

YYYY

Do you have any special needs or requirements that the host organization should know about? (E.g.mobility, medical needs, allergies, dietary restrictions such as vegan) *

Please tell us if you find yourself in any of the following categories:

Please tell us if you find yourself in any of the categories listed above: *

Language abilities in English *

A1 (Beginner)

A2 (Elementary)

B1 (Intermediate)

B2 (Upper-Intermediate)

C1 (Advanced)

C2 (Proficiency)

Listening

Speaking

Reading

Writing

Please specify your background: *

ORGANISATION INFORMATION: Please tell us about your ORGANIZATION, i.e., the (non-profit non-governmental) organization that you actively work/volunteer for, IF ANY). Please leave this section EMPTY if you are NOT active in any non-profit non-governmental organisation]:

Name of organization *

Address *

Website *

What are your roles (volunteer, youth worker, board member, director ...) and your tasks? Please tell us how long you have been involved in youth work? *

Please describe your organization briefly. What are the objectives, main activities and target group of your organization? *

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