РЕГИСТРАЦИЯ НА УЧАСТИЕ В ПРОЕКТАХ ERASMUS+

By submitting this form i am applying for the participation in the project

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Спасибо за ответ! ✨

Thank you for your submission! Selected participants will be contacted for an interview within 20 days

Project name(обязательно)

Place of the project(обязательно)

Dates of the project(обязательно)

E-mail(обязательно)

Your name (latin letters only as in ID or passport)(обязательно)

Your family name (latin letters only as in ID or passport)(обязательно)

Date of birth DD/MM/YYYY(обязательно)

Gender(обязательно)

Citizenship/ Country of residence(обязательно)

Home address (only city)(обязательно)

Mobile phone (including country code)(обязательно)

Facebook account (link) or other social media account

Sending Organization (if you don’t know — write NO)

Position in your organization. If you don’t have any — write NO

Have you ever participated in any of Erasmus + or ESC programmes? (YE, TC, PBA or Seminar, volunteering or practice)(обязательно)

Выберите вариант No — this is the first time Yes (2-4 times) Yes (5-10 times) Yes (more than 10 times)

Language proficiency of English(обязательно)

Выберите вариант Basic Medium Good Excellent

Please describe your experience in the field of non-formal education(обязательно)

Please describe your motivation/ interest in participation to this project(обязательно)

Please describe your experience in the field of the project theme(обязательно)

Please give concrete examples on how you could disseminate (share and spread) the project results?(обязательно)

Food restrictions, allergies et

Health problems affecting participation during whole period of activity

Do you consider yourself to be a person with fewer opportunities? (‼)(обязательно)

Yes

No

‼ If your answer to previous question is YES, please mark, which obstacles do you meet daily in your life (you can check several boxes)

Social obstacles — young people facing discrimination because of gender or ethnicity or religion or sexual orientation or disability etc. — young people with limited social skills or anti-social or risky sexual behaviours — young people in a precarious situation — (ex)offenders or (ex)drug or alcohol abusers — young and/or single parents and orphans — young people from broken families Economic obstacles — young people with a low standard of living or low income or dependence on social welfare system — in long-term unemployment or poverty — young people who are homeless or young people in debt or with financial problems Disability — mental (intellectual or cognitive or learning) — physical or sensory — other disabilities Educational difficulties — young people with learning difficulties — early school-leavers and school dropouts — lower qualified persons — young people with poor school performance Cultural differences — young immigrants or refugees or descendants from immigrant or refugee families — young people belonging to a national or ethnic minority — young people with linguistic adaptation and cultural inclusion problems Health problems — young people with chronic health problems or severe illnesses or psychiatric conditions — young people with mental health problems Geographical obstacles — young people from remote or rural areas — young people living on small islands or peripheral regions — young people from urban problem zones — young people from less serviced areas (limited public transport or poor facilities or abandoned villages)

Breefly describe all your selected obstacles of fewer opportunities

I confirm that my personal data provided in this application is real and I agree that they will be processed for the selection and participation in this project, only.(обязательно)

By registering for selected project I confirm that I am not included in any other project by Erasmus+ or ESC programme during whole period of activity(обязательно)

SendОтправка формы

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After registration we will contact you as soon as possible to organize a personal interview by phone or by internet.