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Equality Revolution: Action!- Application form
This is the application form for Equality Reloaded Youth Exchange (19th-28th august- Málaga, Spain).
Deadline: 31th july 2019
Check with your sending organization before submitting .
In case you have any further question:
EqualityRev@gmail.com
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* Indicates required question
Name:
*
Your answer
Surname:
*
Your answer
Name you want to be called during the project
*
Your answer
Preferred gender pronoun
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Phone number:
*
Your answer
Email:
*
Your answer
Passport/ID Number
*
Your answer
Country of residence
*
Choose
Spain
Romania
France
Slovenia
Italy
Home address:
*
Your answer
Emergency contact:
*
IN case of an emergency during the activities, provide the name and phone number of the person you want us to contact.
Your answer
Allergies or special needs:
*
Specify if you have any type of allergy or needs we should be aware of. Specially allergies connected with food, mobility, language support, etc.
Your answer
Food requirements:
*
Specify if you have any type of allergy or needs we should be aware of. Specially allergies connected with food, mobility, language support, etc.
Meat eater
Vegetarian
Vegan
Gluten free
Other:
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