Explore YOUR potential – Capacity Development for Youth Organisations

EXPLORE YOUR POTENTIAL – Capacity Development for Youth Organisations

4-12.04.2015 in Misaktsieli, Georgia

ORGANIZATION: League of Youth Voluntary Service

FIRST NAME (as in passport):

SURNAME (as in passport):

GENDER: □ Мale□ Female

DATE OF BIRTH:

PLACE OF BIRTH (town, country):

RESIDENCE ADDRESSE (street, town, country):

TELEPHONE:

E-MAIL:

EMERGENCY CONTACT:

Name: Surname: Telephone:

SPECIAL NEEDS (OR HEALTH REMARKS):

PAST EXPERIENCES:
WHAT IS YOUR MOTIVATION TO TAKE PART IN THIS PROJECT?:
WHAT ARE YOUR EXPECTATIONS OF THE TRAINING?:

IF VISA IS NEEDED:

N° of passport:

Date of issue:

Date of expiry:

Date of birth:

Place of birth:

Nationality:

Address (street, app. no., city, ZIP code):

Дата добавления: 2015-08-27