Training course for youth workers

APPLICATION FORM

YOUTH IN ACTION 3.1.

TRAINING COURSE FOR YOUTH WORKERS

“PEACE FACTORY”

15 – 22 MAY 2014, BITOLA - MACEDONIA

Deadline for sending applications Friday 25^th of March 2014

Only the complete applications will be considered.

1. PARTICIPANT’S CONTACT DETAILS

SURNAME and first name
Date, city and country of birth
Gender (Male or Female)
Citizenship
Passport number and validity
Home address
City and country
Telephone and/or mobile number
E-mail address
Job title – position in the organization
Any medical or other special dietary needs (if yes, please provide a list)
Level of English language knowledge	Excellent Good Poor
Estimated travel costs (in EUR) and type of transport

2. ORAGANISATION’S CONTACT DETAILS

Name of the organisation
Name of the organisation in English
Postal address
City and Country
E-mail address
Website
Telephone and/or mobile number
Fax number
Contact person

Please, describe your previous experience with peace building and volunteering.

Please, list the training courses you attended (national or international) in the past 2 years.

What would you like to learn on this training course?

In which way do you expect to be active in peace building initiatives after the training?

Thank you for your time and interest!

Дата добавления: 2015-11-04