for Training Course Euro-Asi – From Europe to Asia: capitalising experience in Youth work, March to December 2015 in Bali, Indonesia
The contact details you provide us below will be used for all correspondence!
[label]Full name (as on your passport)[/label] [input name=sql_full_name required=true] [label]Place and Date of birth (DD/MM/YYYY)[/label] [input name=sql_dob required=true] [label]Gender[/label] [select name=sql_gender required=true options=Choose;Male;Female] [label]Address[/label] [input name=sql_home_address required=true] [label]Post code[/label] [input name=sql_home_postcode required=true] [label]City[/label] [input name=sql_city required=true] [label]Country[/label] [input name=sql_country required=true] [label]Phone[/label] [input name=sql_phone required=true] [label]E-mail[/label] [input name=sql_email required=true]Please mention all languages in which you are able to work and indicate your level for each of it (B-basic, G-good, VG-very good, F-fluent, MT-mother tongue)
Please note that working language for this course will be English.
[textarea name=sql_language_abilities required=true close=false](E.g. mobility, medical needs, allergies, dietary restrictions, smoker/non-smoker)
[textarea name=sql_special_needs required=false close=false]What are the objectives, main activities and target group of your organization?
[textarea name=sql_organization_description required=false close=false]What is your personal/professional experience in relation with the topics of the training course ?
[textarea name=sql_personal_motivation required=true close=false] [submit value=Send_Application] [send_confirmation]Thank you for your submitted application for Act Global Training Course.
Our team will contact you shortly if you are selected to attend this training course.
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