APPLICATION FORM

Youth in Action 3.1 Training Course MOVE - Moving Values of Europe 14 22 February, 2014, Belgrade, erbia

Do we move when we cross state borders or we move when we move the boundaries of our bodies and minds?

PERSONAL DATA
Name Surname Da e of !ir " Se#$ F!" O%%upa ion A&&ress Ci ' Coun r' Email Telep"one (e!si e Englis" language$ #luent!good!$oor Do 'ou "ave an' spe%ial nee&s or re)uiremen s "a s"oul& *no+ a!ou ,
With the support of the Youth in Action Programme of the European Union.

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1. Please &es%ri!e s"or l' 'our involvemen in lo%al or in erna ional pro0e% s as rainer 'ou "2 +or*er2o "er. /o+ man' 'ears of e#perien%e &o 'ou "ave, Are 'ou mem!er of an organi3a ion 4 &e%ri!e i s"or l', 5. Lis fe+ re%en rainings2pro0e% s 'ou "ave !een involve& as a rainer2'ou " +or*er2organiser 6. Please &es%ri!e 'our ar is i% !a%*groun&. Do 'ou use ar in 'our +or*, 7. Please &es%ri!e 'our o "er fiel&s of +or*2engagemen %hobbies, $assions, ins$irations ...& 8. ("a is 'our mo iva ion o !e par of "is pro0e% , 9. ("a 'ou:& li*e give, o gain !' a*ing par in "is raining %ourse, To

;. /o+ useful is "is TC for 'ou an& 'our organisa ion, <. Des%ri!e 'ourself =in "is momen > !' using 7 +or&s De%lara ion$ ' agree that (y $ersonal data gi)en in this a$$lication (ay be (ade a)ailable to other $artici$ants. ' underta*e to $artici$ate #or the +hole duration o# the training course. 't is (y $ersonal res$onsibility #or ensuring (y o+n health. Da e$ Name an& surname of par i%ipan $

Appli%a ion$

,lease do #ind attached a$$lication #or(, #ill it and send it to -elena.-e.do)ic/g(ail.co( . Appli%a ion &ea&line is 15 De%em!er 1?-5. Announ%emen of "e resul s +ill !e un il ?7 @anuar' 1?-6. FOR ANA ADDITIONAL INFORMATION PLEASE DO CONTACT$ 0elena 0e.do)ic, 12AC3
With the support of the Youth in Action Programme of the European Union.

,ro-ect coordinator -elena.-e.do)ic/g(ail.co( 4351642215357

With the support of the Youth in Action Programme of the European Union.