REGISTRATION FORM TO ERASMUS+ and Volunteering PROJECTS
By submitting this form I am applying for the participation in the project
Project name
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Erasmus+ "STAY Alert, Europe: Ready?" YE Germany, 28.04. - 07.05.2024
Erasmus+, "Juggling Diversity" YE, Vecruzhina, Latvia, 31.05- 09.06.2024
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Your Email
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example@example.com
Your name and surname (latin letters only as in ID or passport)
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First Name
Last Name
Date of birth DD/MM/YYYY
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-
Day
-
Month
Year
Date
Gender
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Citizenship/ Country of residence
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Home address (only city)
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Mobile phone (including country code)
*
-
Area Code
Phone Number
Facebook account (link) or other social media account
*
Sending Organization (if you don't know – write NO)
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Position in your organization. If you don't have any – write NO
*
Have you ever participated in any of Erasmus + or ESC programmes? (YE, TC, PBA or Seminar, volunteering or practice)
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No, this is the first time
Yes, 1-4 times
Yes, 5 or more times
Language proficiency of English
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Basic
Medium
Good
Excellent
Please describe your experience in the field of non-formal education
*
Please describe your motivation/ interest in participation to this project
*
Please describe your experience in the field of the project theme
*
Please give concrete examples on how you could disseminate (share and spread) the project results?
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Food restrictions, allergies et
*
Health problems affecting participation during whole period of activity
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Do you consider yourself to be a person with fewer opportunities?
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Yes
No
If your answer to previous question is YES, please mark, which obstacles do you meet daily in your life (you can check several boxes)
Social obstacles – young people facing discrimination because of gender or ethnicity or religion or sexual orientation or disability etc. – young people with limited social skills or anti-social or risky sexual behaviours – young people in a precarious situation – (ex)offenders or (ex)drug or alcohol abusers – young and/or single parents and orphans – young people from broken families
Economic obstacles – young people with a low standard of living or low income or dependence on social welfare system – in long-term unemployment or poverty – young people who are homeless or young people in debt or with financial problems
Disability: physical – mental – intellectual or sensory disabilities
Educational difficulties – young people with learning difficulties – early school-leavers and school dropouts – lower qualified persons – young people with poor school performance
Cultural differences – young immigrants or refugees or descendants from immigrant or refugee families – young people belonging to a national or ethnic minority – young people with linguistic adaptation and cultural inclusion problems
Health problems – young people with chronic health problems or severe illnesses or psychiatric conditions – young people with mental health problems
Geographical obstacles – young people from remote or rural areas – young people living on small islands or peripheral regions – young people from urban problem zones – young people from less serviced areas (limited public transport or poor facilities or abandoned villages)
Breefly describe all your selected obstacles of fewer opportunities
*
I confirm that my personal data provided in this application is real and I agree that they will be processed for the selection and participation in this project, only.
*
Yes
By registering for selected project I confirm that I am not included in any other project by Erasmus+ or ESC programme during whole period of activity
*
Yes
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Your Email
*
example@example.com
Your name and surname (latin letters only as in ID or passport)
*
First Name
Last Name
Date of birth DD/MM/YYYY
*
-
Day
-
Month
Year
Date
Gender
*
Citizenship/ Country of residence
*
Home address (only city)
*
Mobile phone (including country code)
*
-
Area Code
Phone Number
Facebook account (link) or other social media account
*
Your PRN (Participant registration number) from European Youth Portal (10 or 16-digits) IT IS OBLIGATORY FOR PARTICIPATION IN ANY ESC PROGRAM PROJECT. REGISTER and get the number HERE: https://europa.eu/youth/solidarity_en
*
Sending Organization (if you don't know – write NO)
*
Position in your organization. If you don't have any – write NO
*
Have you ever participated in any of Erasmus + or ESC programmes? (YE, TC, PBA or Seminar, volunteering or practice)
*
No, this is the first time
Yes, 1-4 times
Yes, 5 or more times
Language proficiency of English
*
Basic
Medium
Good
Excellent
Please describe your experience in the field of non-formal education
*
Please describe your motivation/ interest in participation to this project
*
Please describe your experience in the field of the project theme
*
Please give concrete examples on how you could disseminate (share and spread) the project results?
*
Food restrictions, allergies et
*
Health problems affecting participation during whole period of activity
*
Do you consider yourself to be a person with fewer opportunities?
*
Yes
No
If your answer to previous question is YES, please mark, which obstacles do you meet daily in your life (you can check several boxes)
Social obstacles – young people facing discrimination because of gender or ethnicity or religion or sexual orientation or disability etc. – young people with limited social skills or anti-social or risky sexual behaviours – young people in a precarious situation – (ex)offenders or (ex)drug or alcohol abusers – young and/or single parents and orphans – young people from broken families
Economic obstacles – young people with a low standard of living or low income or dependence on social welfare system – in long-term unemployment or poverty – young people who are homeless or young people in debt or with financial problems
Disability: physical – mental – intellectual or sensory disabilities
Educational difficulties – young people with learning difficulties – early school-leavers and school dropouts – lower qualified persons – young people with poor school performance
Cultural differences – young immigrants or refugees or descendants from immigrant or refugee families – young people belonging to a national or ethnic minority – young people with linguistic adaptation and cultural inclusion problems
Health problems – Obstacles may arise from health problems including serious illness – chronic illness – or any other physical or mental health condition that prevents you from participating in the program
Geographical obstacles – young people from remote or rural areas – young people living on small islands or peripheral regions – young people from urban problem zones – young people from less serviced areas (limited public transport or poor facilities or abandoned villages)
Breefly describe all your selected obstacles of fewer opportunities
*
By registering for selected project I confirm that I am not included in any other project by Erasmus+ or ESC programme during whole period of activity
*
Yes
By filling out this questionnaire, I agree that my personal data will be processed for the following purpose: for the selection of participants and the creation of databases for the selection of candidates for voluntary work projects with the aim of informing about the decision to participate in the project, as well as informing about a specific event and project suitable for a specific target group developments in Latvia and abroad.
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Yes
We inform you that the data specified in the questionnaire will be processed and collected for the purpose of: selection of project participants, which includes candidate evaluation and participant registration; preparation and issuance of a certificate of participation; storage of personal data for the purposes of preparing reports and statistics, as well as transfer of personal data to third parties. Data processing manager: Culture association Alternative reality, Daugavmalas 34-27, Saulkalne, Salaspils prov., Latvia; telephone number 22189430; e-mail address: alternativarealitate@gmail.com.Reason for personal data processing: The survey is carried out as part of the selection of candidates for voluntary work projects.Duration of personal data processing: permanent.
*
Yes
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Your Email
*
example@example.com
Your name and surname (latin letters only as in ID or passport)
*
First Name
Last Name
Date of birth DD/MM/YYYY
*
-
Day
-
Month
Year
Date
Gender
*
Citizenship/ Country of residence
*
Home address (only city)
*
Mobile phone (including country code)
*
-
Area Code
Phone Number
Facebook account (link) or other social media account
*
Name of country you represent
*
Poland
Norway
Serbia
North Macedonia
Cyprus
Germany
Hungary
Latvia
Sending Organization (if you don't know – write NO)
*
Position in your organization. If you don't have any – write NO
*
Have you ever participated in any of Erasmus + or ESC programmes? (YE, TC, PBA or Seminar, volunteering or practice)
*
No, this is the first time
Yes, 1-4 times
Yes, 5 or more times
Language proficiency of English
*
Basic
Medium
Good
Excellent
Please describe your experience in the field of non-formal education
*
Please describe your motivation/ interest in participation to this project
*
Please describe your experience in the field of the project theme
*
Please give concrete examples on how you could disseminate (share and spread) the project results?
*
Food restrictions, allergies et
*
Health problems affecting participation during whole period of activity
*
Do you consider yourself to be a person with fewer opportunities?
*
Yes
No
If your answer to previous question is YES, please mark, which obstacles do you meet daily in your life (you can check several boxes)
Social obstacles – young people facing discrimination because of gender or ethnicity or religion or sexual orientation or disability etc. – young people with limited social skills or anti-social or risky sexual behaviours – young people in a precarious situation – (ex)offenders or (ex)drug or alcohol abusers – young and/or single parents and orphans – young people from broken families
Economic obstacles – young people with a low standard of living or low income or dependence on social welfare system – in long-term unemployment or poverty – young people who are homeless or young people in debt or with financial problems
Disability: physical – mental – intellectual or sensory disabilities
Educational difficulties – young people with learning difficulties – early school-leavers and school dropouts – lower qualified persons – young people with poor school performance
Cultural differences – young immigrants or refugees or descendants from immigrant or refugee families – young people belonging to a national or ethnic minority – young people with linguistic adaptation and cultural inclusion problems
Health problems – young people with chronic health problems or severe illnesses or psychiatric conditions – young people with mental health problems
Geographical obstacles – young people from remote or rural areas – young people living on small islands or peripheral regions – young people from urban problem zones – young people from less serviced areas (limited public transport or poor facilities or abandoned villages)
Breefly describe all your selected obstacles of fewer opportunities
*
I confirm that my personal data provided in this application is real and I agree that they will be processed for the selection and participation in this project, only.
*
Yes
By registering for selected project I confirm that I am not included in any other project by Erasmus+ or ESC programme during whole period of activity
*
Yes
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