PRN ( Personal Reference Number from PASS Platform) *
Your answer
Gender *
Date of birth (dd.mm.yyyy format) *
Your answer
Country of origin *
Have you participated in any international mobility project? *
Do you have any special requirements (food, accommodation, transport, disabilities, allergies, health issues, etc.)? *
Your answer
Do you take any regular medication? *
Your answer
It is your own responsibility to get your free European Health Insurance Card if you are from the EU. Do you agree to that? *
Contact person in case of emergency (name & phone) * *
Your answer
You are most probably going to share an apartment room with 1-2 participants from different countries. Are you okay with that? *
What is your level of English? *
What is your level of Digital Skills? *
Which of the following skills have you got? (select all that apply)
According to ESC requirements, all participants MUST support the visibility of the project in (social) media. Do you agree with that? *
During the activity, the organizers will take photos and video to be published in the media of the partners such as websites, social media or other promotional material. Your name may also appear. Do you agree with that? *
We encourage young people with fewer opportunities. Do you find yourself in any of these situations (the below are just examples)? *
Why do you want to participate in this project?
Your answer
Where did you find out about our volunteering opportunity?
Your answer
I hereby declare that all the above information are true and correct to the best of my knowledge. By submitting this application I, the undersigned, confirm that I have read and understood the InfoPack and the conditions of reimbursement of the project and I know and accept the conditions of participation. *
I agree that the data provided in this application form are accessible to the project team and to the representatives of the partner organisations. *
Name of your Sending Organization (if you have one)