3 Points Shot to Health - Application form

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PLACE AND DATE: Karasu/Sakarja, Turkey, 10-12/09/2021
PARTICIPANTS: 4 basketball coaches
LANGUAGE: The official language of the project is English.

Email *

Your name and surname (exactly as appears in your ID/passport): *

Date of birth: *

YYYY

Gender: *

Female

Male

Undefined

Phone number: *

Living in/travelling from (city): *

Rate your level of understanding/speaking English language: *

Poor

Excellent

Please provide information about your education in the field of basketball coaching: *

Please provide information about your experience in the field of basketball coaching: *

Are you currently working in a sport organization as basketball expert. If so, in which sport organization are you enrolled? *

Do you have previous experience in the field of non-formal education? *

Why do you want to participate in the 3PSH Training course? What do you expect to gain professionally and personally from it? *

How do you want to use the knowledge you gain at this Training course? *

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) *

Emergency contact person. Please give name, phone number and e-mail of your emergency contact. Include the country code (e.g. +32 for Belgium) *

Additional information and comments:

With the present application in 3PSH TC, I declare that: *

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 a full travel insurance is my own responsibility and at my own expenses. 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.

I will comply with all current COVID-19 requirements before, during and after the mobility and if testing or other action is needed for my participation, I will ensure that all needed actions are accomplished.

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