Training course“Sexual orientations, democracy and social cohesion in

Europe” Nov. 28th to Dec. 6th 2015, Etoile-sur-Rhône

PARTICIPANT APPLICATION FORM

Please complete this form and send it to com@volontariat.org before November 9th 2015!

Personal Details

First name       Last name      Gender      Nationality      

Date of birth      

Place of birth      

Address Street      

City      

Postal Code

     

Country      

Email      Mobile phone      Emergency contact

     

Sending organisation

     

Role in your organisation

     

Please indicate your level of English

average very good fluent

Jeunesse et Reconstruction2 place du théâtre – F 26800 Etoile-sur-Rhône(0033) (0)4 75 60 71 35 · www.volontariat.org

Motivation and Expectations

What is your motivation to participate in this training?

     

Tell us a little about how the topic impacts your life and some of the challenges you face?

     

What are some of the challenges LGBT young people face in your country?

     

What can you contribute to this training course?

     

What do you want to gain from this training course (please give us the 3 most important outcomes of this training for you personally):

1.     

2.     

3.     

How do you plan to use the knowledge gained during this training course (please be specific)?

     

Previous experienceWhat kind of experience do you have regarding working with young people? Particularly young people who are LGBT.

     

Have you participated in an international training before?

     

Jeunesse et Reconstruction2 place du théâtre – F 26800 Etoile-sur-Rhône(0033) (0)4 75 60 71 35 · www.volontariat.org

What is your experience with Erasmus + youth or Youth in Action? Have you led or participated in any projects?

     

Additional Information

Do you require any special diet?

Please specify:      

No dietary requirement

Do you suffer from any allergies?

Yes Please specify:      

No

Please mention your blood type :      

Do you have any other special requirements (mobility, medical conditions, dietary, restrictions etc.)?

Please specify:      

Please use the space below to inform organisers about any other important and relevant fact regarding your participation in the event:

     

Thank you for filling in this form!

Jeunesse et Reconstruction2 place du théâtre – F 26800 Etoile-sur-Rhône(0033) (0)4 75 60 71 35 · www.volontariat.org