Application Form


Before you apply

Before you fill this application form, please read the project details on our “Upcoming projects” page, to make sure that you fulfil our initial selection criteria. Please email if you have any questions.
[label]Which project you’re interested to apply?[/label][form_name]

Your details

The contact details you provide us below will be used for all correspondence!

[label]First name[/label] [input name=sql_first_name required=true] [label]Surname[/label] [input name=sql_surname required=true] [label]Date of birth (DD/MM/YYYY)[/label] [input name=sql_dob required=true] [label]Place & country of birth[/label] [input name=sql_pace_of_birth required=true] [label]Gender[/label] [select name=sql_gender required=true options=Male;Female] [label]Home 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
(preferably mobile with full international dial codes)[/label] [input name=sql_phone required=true] [label]E-mail[/label] [input name=sql_email required=true] [label]Facebook or other Social Media[/label] [input name=sql_facebook required=false]

Do you have any special needs or requirements that the host organization should know about?

(E.g. mobility, medical needs, allergies, dietary restrictions, smoker/non-smoker)

[textarea name=sql_special_needs required=false close=false]

Language(s) spoken:

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]

Please describe your experience as participant in the Youth in Action Programme:

[textarea name=sql_experienceYiA required=true close=false]

What is your experience in the topic of this training course?

[textarea name=sql_experience_Topic required=true close=false]

What is your motivation for attending this programme?

[textarea name=sql_motivation required=true close=false]

What do you expect to gain from this programme?

[textarea name=sql_expect_of_this_programme required=true close=false]

Where did you learn about this programme?

[textarea name=sql_learn_about_this_programme required=true close=false]

Anything else you would like to add in support of your application?

[textarea name=sql_other_support required=false close=false] [submit value=Send_Application] [send_confirmation]

Thank you for your submitted application. We will contact you at least 5 weeks before the event to let you know if your application is successful or not. Please note that you should NOT buy or book your tickets before the selection process and without our confirmation from the Act Global Team.

Meanwhile, please browse our website to read more about us and our projects. You can also follow us on Facebook, Twitter and Instagram – check the links on the footer of this page.

[/send_confirmation] [/db_form]
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