Inclusive/intercultural education, human rights and anti-discrimination

6. - 10. November and 4. – 8. December 2022

 I confirm my participation on the course, held from November 6th – 10th and December
4. – 8. 2022. I also confirm that I will cover travel insurances myself and am fully
vaccinated against Covid19

Date of birth: 21.03.1980

First name: Irina Family name: Gruia

School / Organization: Association Development and Psychotherapy through Action

Your name as it should appear on the certificate: Gruia Irina

Mobile phone number: 004.0744.99.44.33

e-mail: gruia_irina@yahoo.com
Few words about your profession: psychotherapist, nonformal education trainer, psychodrama
trainer

The full board includes the same menu choice for the whole week. Please write yes next to your choice.

I would like to have fish, meat and vegetarian meals during the week - YES
I would like to have only vegetarian meals during the week - ----------------------------
I would like to have only vegetarian meals and fish, but no meat during the week - -----------------
I would like to have vegetarian meals and meat but no fish during the week - -------------------------

The course will be held in English language: Please define your English skills
(NE – no English, B-basic, G-good, VG-very good, F-fluent, MT-mother tongue)
Listening Speaking Reading Writing
English F F VG G

Would you like to participate in one excursion? (the price for the excursion is ISK 8.000)
Please write yes or no: YES (aurora borealis, if is possible 😊)

If you know already.

Arrival from:
date:
hour:
I agree that pictures of me during the course are shared with the other participants and possibly on ICI
Facebook, or webpage
Please write yes or no: YES