Application Form - Earth Challenge
2
Please send this application form to e-mail: [email protected] BEFORE 20 th of September 2015 Basic information about the applicant: First Name Surname Nationality Date of birth Gender Male Female Address (street, city and country) Personal e-mail Mobile Number (with international code) Further important information (Special nutrition, allergies, medical support, etc) Emergency contact person Background: This project is funded by ERASMUS+ Programme APPLICATION FORM 03-11 October 2015 Sibenik – Croatia Earth Challenge – ToT in Environmental Field (Erasmus+ KA1)
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Application form for ToT Earth Challenge 3. - 11. October 2015. in Šibenik, Croatia.
Transcript of Application Form - Earth Challenge
Please send this application form to e-mail: [email protected] BEFORE 20th of September 2015
Basic information about the applicant:
First Name
Surname
Nationality
Date of birth
Gender Male Female
Address (street, city and country)
Personal e-mail
Mobile Number (with international code)
Further important information (Special nutrition, allergies, medical support, etc)
Emergency contact person
Background:
English knowledge Low Good Very good Excellent
What is your
This project is funded by ERASMUS+ Programme
APPLICATION FORM
03-11 October 2015Sibenik – Croatia
Earth Challenge – ToT in Environmental Field
(Erasmus+ KA1)
previous experience in international youth projects? Please describe
What are your motivations to take part to this project?
What contribution can you give to this project?
How do you think you will use the competences gained during the project, once you will come back home?
By singing this application form I confirm that I have read carefully the information folder prepared by the organizers, I know the conditions for participation and I agree, if selected, to take active part in the Project “Earth Challenge” in Sibenik, Croatia in the period between 03 – 11 October 2015. Date and place:
Name and surname:
This project is funded by ERASMUS+ Programme
