POWER OUT: Youth Learning through the Power of Outdoor Activities

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Erasmus+: Youth, Key Action 1: multi-phase youth worker mobility
Dates & venues:

1st part (seminar): Korce, Albania, 29 May—5 June 2022
2nd part (training course): Thessaloniki, Greece, 11—18 September 2022

Participants can take part in one or both of the above mobilities. Participation in both is not mandatory.

APPLICANT INFORMATION

Name *

Surname *

Gender *

Date of birth *

YYYY

Age at the time of the project: *

Citizenship *

If you answered "other" in the above 'Citizenship' section, please state your citizenship/nationality:

Full address *

Current country of residence *

Region: *

Email address *

Mobile phone number *

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 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) and I will thus not be fully vaccinated.

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:

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

ORGANIZATION 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 BLANK (empty) if you are NOT active in any non-profit non-governmental body]:

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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