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#EmpowerSport TR 2024 - Application form
PLACE AND DATE: Sakarya, Turkey, 02-06 June 2024
PARTICIPANTS:
Sport experts, Youth workers, PE teachers
LANGUAGE:
The official language of the project is English.
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Email
*
Your email
Your name and surname (exactly as appears in your ID/passport):
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Your answer
Date of birth:
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MM
/
DD
/
YYYY
Gender:
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Female
Male
Undefined
Phone number:
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Your answer
Could you please provide your current residential address
(street, number, city, other details of your residence):
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Your answer
Your profession:
*
Choose
Sport expert
Youth Worker
PE teacher
Your work experience in the mentioned position
*
Choose
0-3 years
3-5 years
5-8 years
8-10 years
more than 10 years
Rate your level of understanding/speaking English language:
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Poor
1
2
3
4
5
Excellent
Sport club/Educational institution/Youth organization you are involved in:
*
Your answer
Could you kindly share details about the sports/youth organization you are affiliated with? Please specify the nature of your activities and the target group you primarily serve.
*
Your answer
Do you have previous experience in the field of adapted sports? If Yes, please provide more details:
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Your answer
Why do you want to participate in the #EmpowerSport educational mobility? What do you expect to gain professionally and personally from it?
*
Your answer
How do you want to use the knowledge you gain at this Training course?
*
Your answer
Specify any food requirements that you have (food alergies, preferencies, ect...) or any special needs (mobility, medical condition, ect...). Otherwise leave blank (use n/a)
*
Your answer
Emergency contact person. Please give name, phone number and e-mail of your emergency contact. Include the country code (e.g. +32 for Belgium)
*
Your answer
Additional information and comments:
Your answer
With the present application in #EmpowerSport TC, I declare that:
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I hereby commit myself to participate in the whole process of this course including remote preparation and the activities that needs to be implemented after the TC.
I am aware of all the details of this TC, including the conditions for application process, my participantion and financial details.
I am aware that obtaining European Health Card is my own responsibility. I understand that the information I provided on my special needs does not remove my own personal responsibility for ensuring my own health.
Accommodation/subsistence costs of each participant will be paid by the hosting organization and with the present application, the participant confirms its ability to participate in the mobility in the mentioned period. If in any case the participant can not travel with the group, he/she has to return to the hosting organization all occured costs for his/her participation.
I have informed about all food requirements that I have (food alergies, preferencies, ect...) or any special needs (mobility, medical condition, ect...)
By signing this form I allow the Bulgarian sports development association /Personal Data Administrator/ to process the personal data provided in this form for the purposes of the present project and to use of the photos/videos from the event in which I participated for the promotion of project activities.
I am providing my personal data willingly to the sending and hosting organizations and allowing them to use the personal data in all needed project means.
I am allowing the sending and hosting organization to make pictures of myself during the project activities and to use those pictures for project dissemination and visibility.
With sending this file, I am accepting all the conditions of the mobility I am applying to and I am committed to follow the Erasmus+ Programme rules.
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