Application Form

TITLE: F.O.C.U.S: Globe! Fostering Open and Creative Urban Sustainability: Globe!

Personal Information Last name: First name: Address: Postal code & City: Country: E-Mail: Phone number: Gender: Date of birth: Your language skills Language (mark by x) Nationality: Place of birth:

photo

Native

Fluent

Good

Basic

1. Please, describe your motivation to take part the youth exchange F.O.C.U.S: Globe!

2. Please, briefly describe your educational background

3. Please describe your previous experiences in international projects

4. What do you know about the Youth in Action programme?

5. Which problems do you think you could encounter during the youth exchange?

Mark by x Do you have special needs (medical conditions, handicaps)? Do you need to take any kind of medication? Do you have any allergies (pets, food, etc.)? Do you smoke? Do you have special needs concerning food (vegetarian)?

Yes

No

Please specify if you have answered YES to any of the above questions:

Thank you for applying! Mladiinfo Team