Training Course “let’s stop bullying” (lsb)

Application form

TRAINING COURSE “Let’s Stop Bullying” (LSB)

Place: Kyiv, Ukraine

Activity dates: 23/05/2014 (arrival day) – 31/05/2014 (departure day)

Name & Surname:
Name of the organization		Country:
Nationality:		Date of Birth:		Gender:	Female Male
Complete address:
Postal code:		Town:		Country:
Mobile Phone (with full international dial codes)		Email address of the organization
Email:		Website:
Skype:		Alternative phone number
From which country will you be travelling to the Training Course?		To which country will you return after Training Course?

Please indicate us the name and full contact details of a person to be contacted in case of emergency during the training:

Name:
Complete address:
Postal code:		Town:		Country:
Mobile phone: [with full international dial codes]		Fax: [with full international dial codes]
Email:

Please answer the following questions

Previous experience

Please give details of your experience in the field of the prevention of bullying. Please mention the projects, seminars, actions etc. which you have been involved in, if any.

Have you previously taken part in activities organised within the framework of the Youth In Action or any other youth program? (if yes, pls write the title of the project, date and venue)

Motivation and Expectations

What is your motivation to participate in the training course?

What do you expect to gain through your participation in this activity?

What could be your contribution to this project? Please explain how do you plan to use this training results for future steps in your organisation and/or community.

Any special requirements. Please specify (if you are vegetarian/vegan/etc please state it here):

Please use the space below to inform organisers about any other important and relevant fact regarding your participation in the event:

Please do NOT buy any tickets until you receive instruction from “Altenative-V”.

Дата добавления: 2015-11-04