• English (E), Russian (R)
  • Other languages
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    Last prisoner story goes on

    International youth exchange

    Konstantinovka, Ukraine, 15-30 of August 2012

    APPLICATION FORM

     Type please !!!! 



    Surname (as written in passport)



    First name




    Female 

    Male 

    Birth date




    Nationality




    Passport Number




    Personal Address




     Phone




    Home




    Mobile




    Fax




    Email




    Special needs? (food, allergy etc)







    Language skills




    Native tongue

    Very good

    Good

    Poor
    English (E), Russian (R)

    Spoken













    Written













    Understand












    Other languages




    Spoken













    Written













    Understand














    Please give details of your voluntary, youth or community work experience


    Why do you want to join this youth exchange? What do you think can you contribute to the project as a participant?


    What do you expect to gain from your participation? How do you expect youth exchange to be organized?


    What contribution can you give to the program of the youth exchange? Would you be willing to organize a workshop on one of the program topics?


    Please return completed form to

    avi@avimd.org

    Before 1th of September 2012
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    Download 44 Kb.