Application form - Create! Include! Participate!
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Name and surname: *
Place and year of birth: *
Gender *
Current place of residence (city and country): *
Email address: *
Mobile phone number *
Please check the application you use: *
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Do you have a passport and of what country? *
Current occupation: *
Which School or University are you attending or have you graduated from ? *
How would you grade your spoken and written knowledge of English language (from 1 - poor knowledge to 5 - excellent knowledge)? *
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2
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5
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Written
How did you find out about Create! Include! Participate?
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Do you have previous experience in a civic involvement? *
If yes, please specify the civic involvement (what did you do, in which organisation or for which cause & for how long)
Why do you want to participate in the project? Please tell us in up to 400 words about yourself and your motivation! *
What is the most important challenge which your local or regional surrounding is facing? How do you see your role in creating solutions to this challenge? Please answer with up to 500 words in a short essay, poem or short story! *
Do you have any special requirements that you would like us to be aware of? Please specify. *
I hereby agree that Create! Include! Participate! implementing organisations are allowed to store my data for the administration of the programme only : *
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