Académique Documents
Professionnel Documents
Culture Documents
Personal Details
Title
First Name/Given Name
Dr.
Mr.
Mrs.
Ms.
Middle Name
Last Name/Surname
Nationality
Religion
Date of Birth
Place of Birth
Mobile Phone
Emergency Contact
Your Position
Details of the
organization / institution
Name
Address
Phone
YES
2.
Subject/Title
Course
Objective
Location
Organized by
Duration
1. Institution
Duration
Roles and
Resposibilties:
2. Institution
Duration
Roles and
Resposibilties:
Please share your perception and understanding about anti-corruption issue occurs at local
or national level. Provide specific examples when possible:
What do you think about corruption? Have you ever encountered it?
Future collaboration
How are youth activists able to fight against corruption in a local/national level?
Name three reasons why you think you should be selected to participate in the International
Youth Camp:
ADDITIONAL INFORMATIO N
Language skills
Excellent
Good
Fair
Poor
English
Native Language (please specify):
.
Local dialect (please specify):
.
Others (please specify):
.
Special Food Requirements
Please Clarify
Please Clarify
Yes No
Other Special Needs
Yes No
T-shirt size: S
XL XXL
Parent/Guardian Information
Name:
Relationship to participant:
Address:
Home phone:
Cell phone:
Signature:
Name:
Name:
Date:
Date:
APPLICANT CRITERIA:
-
Camping checklist (What to Bring!): Towel, pillow, blanket, shampoo, soap, toothpaste,
toothbrush, own refilled water bottle, personal medication (if required), sport shoes and sport uniform for morning
exercise, enough clothes for 7 days,
Note: Any valuables such as laptops, mobile phones and jewelry are brought at your own risk.
What organizing team will cover:
Meals and per-diem for 7 days (breakfast, lunch, dinner and refreshments)
Airfare
Accommodations
Local transportation for meetings and excursions
Training materials