Application Form

TC “ACT-ION”
17/09/18- 24/09/18

Fondo, ITALY

Full Name Gabriel-Andrei Zanfir

Age 20

Gender M

City/Country of residence Ploiesti, Romania

Email address gabii.zanfir@gmail.com

Phone number +40746723834

Special needs (food, No

health etc.)
Emergency Contact +40745156560 – Ana Zanfir

Do you allow to take a pictures of you for future using of this material for the project
dissemination and in frames of the TC visualization?
Yes No

Your experience in Youth work? (here you can describe your experience in the
Erasmus+ projects participation, your general involvement to the youth work in your
daily life work and etc ).

Your personal motivation of participation in this TC?

Your experience in the project theme?

Additional comments to trainers (It could be connected with your personal
expectations, fears or contributions)

I confirm, that I have read an info_pack and I agree with all of the conditions which
are provided by organizers of this TC
Yes No

Please send the filled application to worldwide@ormasite.it till 01 August 2017

This project is supported by the Erasmus+ Programme