Participant registration
TC "URban”
Newcastle-upon-Tyne, England August 18-27, 2013
FIRST NAME |
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LAST NAME |
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DATE OF BIRTH |
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GENDER | Please select one: o female o male | ||||||
LANGUAGE ABILITIES |
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LEVEL OF ENGLISH | oBEGINNER oINTERMEDIATE oFLUENT | ||||||
MOBILE PHONE |
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ADDRESS |
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What is your motivation to attend this project? |
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What kind of experience in youth work do you have? |
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What do you expect from the project? |
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How do you see your role in this project? |
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SENDING ORGANISATION | Pedagogical Centre ACADEMIA | ||||||
DIETARY RESTRICTIONS |
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APPROXIMATELY TRAVEL COSTS |
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CONTACT PERSON IN CASE OF EMERGENCY |
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PASSPORT DETAILS | Nationality |
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Number |
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Place Issued |
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Date Issued |
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Expiry Date |
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| Visa required? | o yes o no |
With sending this form you agree to attend in all activities planned during the project.
Дата добавления: 2015-11-04; просмотров: 15 | Нарушение авторских прав
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