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Application form


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Foundation of Regional Initiatives

International projects

APPLICATION FORM

PART I:





First name




Middle name




Surname




Date of birth




Gender




E-mail address




Mobile phone




^ Home address




International passport #




Date of issue




^ Date of expiration




International experience (projects)




English abilities

 Very poor  Limited  Average  Good  Fluent



PART II


Please take your time and answer the following questions. They are of a great importance so that the team can design the final programme and content with your needs in mind.


^ Please describe your role, position and experience in your organisation







^ What kind of practical experience do you have in the area covered by the project (e.g. volunteering projects, intercultural learning, outreach)? Please describe it







^ What is your motivation to join this activity, both personally and professionally? What are your expectations towards this activity?







^ What will you be able to contribute to this activity?







Is there anything else you would like to share about your work, responsibilities, skills, experiences, etc. which would be useful to know?






PART III:





^ Please let us know if you will have any practical requirements, such as special dietary needs (vegetarian, no pork meat etc.) or any disability arrangements?







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

Name




Complete address




Phone number




e-mail





For any other information, please contact us.

Maryna Shkurat

fri_sumy@mail.ru

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