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Youth Exchange MUSIC IS MY AEROPLANE - Application form
Scambio Giovanile internazionale a Kiskunfélegyháza (Ungheria)
13-21 Agosto 2019
ATTENZIONE! Il modulo può essere compilato anche in lingua italiana
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* Indicates required question
First Name
*
as on your passport
Your answer
Family Name
*
Surname as on your passport
Your answer
Nationality
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Gender
*
Choose
M
F
Complete home address
*
Your answer
Postal code
*
Your answer
Town
*
Your answer
Country
*
Your answer
Phone (preferably mobile)
*
with full international dial codes
Your answer
Email
*
Your answer
Language(s) abilities
Please mention all languages in which you are able to work and indicate your level for each of it.
English
*
(1-basic, 2-good, 3-very good, 4-fluent, 5-mother tongue)
Basic
1
2
3
4
5
Mother Tongue
Language 2
Please specify
Your answer
(1-basic, 2-good, 3-very good, 4-fluent, 5-mother tongue)
Basic
1
2
3
4
5
Mother Tongue
Clear selection
Language 3
Please specify
Your answer
(1-basic, 2-good, 3-very good, 4-fluent, 5-mother tongue)
Basic
1
2
3
4
5
Mother Tongue
Clear selection
Do you have any special needs or requirements that the host organisation should know about?
E.g. mobility, medical needs, allergies, dietary restrictions (vegetarian, vegan, etc.), smoker/non-smoker
Your answer
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