Participant Form
Thank you for your interest in the current open projects GREEN WORLD in LUBLIN, POLAND and PBA "ALL ROADS LEAD TO SNINA" in SLOVAKIA (ran by our partners) . Please complete the participant form so we have all your information and we can prepare for the mobility properly. 🌍
Name
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Imię
Surname
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Nazwisko
Project name applied for
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Nazwa Projektu
Gender
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Male
Female
Other
Prefer not to say
Town/City
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Miasto
Country
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Kraj
Email
*
Phone Number
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numer telefonu
Date of Birth
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-
Day
-
Month
Year
Date Picker Icon
What is your motivation to apply for this project?
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Motywacja?
What is your interest in the topic?
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Zainteresowanie tematem?
How do you expect to use what you will learn?
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Jak możesz wykorzystać zdobyta wiedzę podczas projektu?
Level of English?
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Fluent
Very good
Good
Basic
Not at all
If you answered yes above, please explain...
Dietary requirements/Allergies (Use this to indicate Vegetarian or Vegan also)
*
Arrival Airport:
Departure Date and time:
Departure Airport:
Submit
You agree that the photos and video documentation taken during the activities where you appear can be used by the project partners in publications, websites and projects to promote the project and the Erasmus+ programme addressed to general public
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I agree
I agree but don't want to be tagged
I disagree
I understand that to receive my reimbursement back I need to: (1) provide all my boarding passes and travel documents; (2) participate in preparatory activities; (3) participate actively in the project; (4) complete evaluation form; (5) respect the rules of the hosting organisation outlined in the infopack;
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I understand
Should be Empty: