Application form_EMP+INC
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Training Course „Employment through inclusion - inclusion through employment“ APPLICATION FORM Training Course «Employment through inclusion - inclusion through employment» 10th of November (arrival before 16:00 h) – 18th of November (departure after the morning session – after 11:30 h) 2015 Split, Croatia To be completed and returned to [email protected] till 20th of October 2015. Please write in capital letters or type. About the sending organization: Name Street & no. Post code City Country Phone Fax E-mail About the participant First Name Gender Male Female Last Name Nationality Street & no. City Country Post code Mobile phone Phone Date of Birth Fax Place of Birth (City and Country) E-mail Passport of ID number Do you need visa for Croatia? Special needs: Vegetarian, Vegan, food alergies, don't eat pork – please be specific: Udruga „Ostvarenje“ II. Breznička 6, 10 000 Zagreb, Croatia Contact telephone number: +385 95 848 0513 [email protected]
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Application for call for participants on training course "Employment through inclusion - inclusion through employment "Fill out application and send back to [email protected] :D
Transcript of Application form_EMP+INC
Training Course „Employment through inclusion - inclusion through employment“
APPLICATION FORM Training Course
«Employment through inclusion - inclusion through employment»10th of November (arrival before 16:00 h) – 18th of November (departure after the
morning session – after 11:30 h) 2015
Split, Croatia
To be completed and returned to [email protected] till 20th of October 2015.
Please write in capital letters or type.
About the sending organization:NameStreet & no.
Post code
City CountryPhone FaxE-mail
About the participantFirst Name Gender Male FemaleLast Name NationalityStreet & no. CityCountry Post codeMobile phone PhoneDate of Birth FaxPlace of Birth (City and Country)
Passport of ID number
Do you need visa for Croatia?
Special needs: Vegetarian, Vegan, food alergies, don't eat pork – please be specific:
What is your role and your tasks in the organization?
Udruga „Ostvarenje“II. Breznička 6, 10 000 Zagreb, Croatia
Contact telephone number: +385 95 848 [email protected]
Training Course „Employment through inclusion - inclusion through employment“
What is your motivation for taking part in this training course?
What is your experience in- Youth work projects/activities and non-formal education- Working with youth with fewer opportunities and excluded youth- Youth empowerment and youth employability- Youth in Action/Erasmus Plus Programme
Travel costs
Estimated travel costsWay of transport (bus, train, plane…)Expected Arrival timeExpected Departure time
Udruga „Ostvarenje“II. Breznička 6, 10 000 Zagreb, Croatia
Contact telephone number: +385 95 848 [email protected]
Training Course „Employment through inclusion - inclusion through employment“
Date and Place:
Please, return to [email protected] till 20th of October 2015.
Udruga „Ostvarenje“II. Breznička 6, 10 000 Zagreb, Croatia
Contact telephone number: +385 95 848 [email protected]
