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You Have The CTRL: Application Form
Youth Exchange
Izmir, Turkey
October 9-16, 2021 (travel days included)
Applicants should be citizens or legal residents of Ireland, North Macedonia, Romania or Turkey.
Project webpage:
https://youhavethectrl.net/
Info pack:
https://youhavethectrl.net/wp-content/uploads/2021/09/yhtCTRL-Info-pack-for-applicants-3.0.pdf
* Indicates required question
Please fill out the form using ONLY the Latin alphabet, WITHOUT DIACRITICS. Fields marked with * are mandatory.
First name:
*
Your answer
Last (Family) name:
*
Your answer
Gender:
*
Female
Male
Prefer not to say
Date of birth:
*
MM
/
DD
/
YYYY
City of birth:
*
Your answer
Country of birth:
*
Your answer
City of residence:
*
Your answer
Country of residence:
*
Your answer
Phone number (please include country code):
*
Your answer
E-mail address:
*
Your answer
Your level of English:
*
Poor
Basic
Good
Very good
Fluent
How many Erasmus+ projects did you attend?
*
None
1-3
4-10
More than 10
Your sending organization is:
*
Asociatia Babilon Travel - Romania
Mreza za Dozivotno Ucenje - North Macedonia
Karabaglar Kaymakamligi Izmir - Turkey
Ikkaido IMA – Ireland
You apply as a:
*
Visually impaired/blind youngster, age 16-30
Youngster with fewer opportunities, age 16-30
Typical, non-visually impaired youngster, age 16-30
Youth leader of my sending organization, age 18+
Accompanying person, age 18+
In case you apply as a youth leader or an accompanying person, please let us know what is your experience in working with young people with visual impairment?
Your answer
What is your motivation to participate to this youth exchange?
*
Your answer
In case of an emergency, who should we contact on your behalf?
*
Your answer
Do you have any special needs, dietary requirements, allergies or anything else that the host organization should know about?
Your answer
Regarding COVID vaccination, are you already vaccinated?
Yes
No, but I will finalize the vaccination process at least 14 days before starting the journy to Izmir, Turkey (October 9, 2021)
No, I am not vaccinated, but I agree to make the COVID PCR test within maximum 48 hours before starting the journey to Izmir (October 9, 2021), on my own cost, that will not be reimbursed
No, I am not vaccinated and I do not agree to do the test
In case you would like to add something, here is the right place:
Your answer
Conditions of Participation:
*
I read, understood and agree with the entire info pack for applicants.
I will commit myself to participate to all activities, including preparation meetings and dissemination, as described in the info pack;
I understand that I am responsible for obtaining my own health insurance and in case of need, to do the PCR/antigen COVID-19 tests, and that these costs are NOT covered by the project and are NOT REIMBURSABLE;
I agree that submitting information to you about my special needs does not remove my own personal responsibility for ensuring my own health and safety;
I authorize the host organization and its partners to publish (in whatever form and by whatever medium they choose, pictures, videos, etc.) information about the activities, results and my participation therein.
Required
Data Protection (GDPR):
*
In compliance with the GDPR I hereby authorize you to use and process my personal details contained in this document which will not be used for commercial purposes.
Required
THANK YOU
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