What are your dreams and plans for the next 5 years? How will participation in “Leaders Plus” help you to achieve them?

International youth training

Date: April 24^th – May 2^nd, 2014

Place: Stepanavan, Armenia

Idea of the training:

This project is open to young motivated individuals who are involved in youth work in their own country and who want to realize their leadership potential on international level. Project will contain practical sessions on how to organize international youth initiatives and meetings, how to work in multicultural team, how to be a good leader, how to network with youth organizations in Europe. Project will equip participants with knowledge about Erasmus+ Program and its opportunities for youth.

Participating countries: Armenia, Hungary, Romania, Georgia, Ukraine, Italy, Malta, Moldova, Denmark

Number of participants from Ukraine: 2

Finances:

- Accommodation, food, excursions, materials are paid 100%

- Return travel from home city to Stepanavan is reimbursed 70% after presenting original tickets and boarding passes

- There might be a small participation fee (max. 20 Euro) which is paid in Stepanavan

- Participants need to buy in advance their own tickets and medical insurance

- Project is funded by the EU Commission Program “Youth in Action” (now Erasmus+)

Application:please send this form to [e-mail] till February 17, 2014

APPLICATION FORM

Personal Details

(Your personal information will be used ONLY for the purposes of the project)

Name and surname:

Home address:

Mobile phone:

E-mail address:

Date of birth:

Education (university and department):

Current job (if any):

Extra Information

Do you have a valid international passport?

NO

YES

Have you ever applied for international projects before?

NO	YES (how many times?)

Have you participated in international projects abroad?

NO	YES (when and where?)

Do you have any allergies/food restrictions/special needs?

NO	YES (which ones?)

If selected, do you wish to make a charity donation for the ChangeLog Foundation?

(Answering this question will NOT affect selection process!)

NO	YES (how much can you donate?)

Questions

Please answer ALL questions. You can write as much as you want.

Please tell us about yourself: your life, your education and jobs, your civic engagement, your hobbies and interests, your inspirations and anything you want to share with us.

Why do you want to participate in the project “Leaders Plus”? What do you hope to learn? What makes you a good candidate for this project?

What are your dreams and plans for the next 5 years? How will participation in “Leaders Plus” help you to achieve them?

I hereby authorize the ChangeLog Foundation to process my personal data included in this application form for the needs of the recruitment process and the program, in accordance with the Law of Ukraine No. 2297-VI “On Protection of Personal Data” (June 1, 2010).

Date: Signature:

THANK YOU!

Дата добавления: 2015-10-28