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Participant registration form
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Departure – June 10th, 2013
Project venue: The Republic of Moldova, Chisinau.
Participants will be hosted in a cozy and friendly hostel “Chisinau-Hostel”, https://chishinau.ucoz.com/
The hostel is a new three-staged building which is fully equipped and is located in a nice area close to the city center and a nice park. Participants will be hosted in the dormitories, 10-bed dorm, 4-bed dorm or 6-bed dorms. Every floor has 1 Bathroom +WC. There is wifi and two PC with permanent Internet connection. There is a nice big room for joint meetings and a balcony for smoking with the beautiful panorama over Chisinau. The entire hostel will be only ours!
We will be having breakfasts in the hostel, lunches outside in the local café /restaurants of Chisinau. And every evening we will cook the national food of each of the participant countries for dinner J So, sharing cultures-sharing tastes!
Costs: Board, lodging and 70% of travel costs will be covered by programme. The 30% of travel costs and insurances to be covered by participants*.
***International travel expenses are reimbursed at 70% of the actual travel costs, UPON PRESENTATION OF ORIGINAL PROOF DOCUMENTS (Invoice + Ticket + Boarding Pass) However please note that according to the budget approved by the EC, maximum reimbursement for train 2nd class or air using Economy Fares will be: (all in Euro-per person)
Participants:
1 group leader + 4 participants per country (2 male participants+2 female participants)
Conditions of participation:
- To be over 18 years old
- Interested in culture/architecture/history/urban development
- Committed to fully participate in the youth exchange
- Committed to contribute to the realization of the main aim
- Able to communicate in English
- Willing to exchange experience of youth work with people with fewer opportunities in different countries
- Photo/video making skills will be considered as an advantage
Participation fee: 10 Euros (We are planning to have visits to several museums of Chisinau, small contribution from participants side is kindly recommendedJ)
Working language: English
Contacts:
ADVIT/ICYE Moldova - Training Course team:
Chisinau, Moldova
MD 2005, CP 483
Tel: +373 22 890342
For urgent cases: +373 69 024641
www.voluntariat.md
E-mail: yemoldova2013@gmail.com
Contact persons: Alina, Anna and Ruta
PARTICIPANT REGISTRATION FORM
(to be filled in and sent to YEMOLDOVA2013@GMAIL.COM
with a copy to d.pritulenko@gmail.com before MARCH 15TH, 2013)
| FAMILY NAME | ||
| FIRST NAME(S) | ||
| COUNTRY | ||
| DATE OF BIRTH | ||
| SEX | MALE | FEMALE |
| ORGANISATION | ||
| POSITION IN ORGANISATION | ||
| PROFESSION | ||
| ADDRESS | ||
| TOWN & ZIP CODE | ||
| COUNTRY | ||
| TELEPHONE | ||
| TELEFAX | ||
| PASSPORT No. /date of issue and expiry | ||
| PREVIOUS YOUTH PROJECTS EXPERIENCE | ||
| WHY DO YOU WANT TO TAKE PART IN THIS YOUTH EXCHANGE? | ||
| HOW CAN YOU CONTRIBUTE TO THE REALIZATION OF THE YOUTH EXCHANGE? | ||
| WHAT CAN YOU LEARN FROM PARTICIPATION IN THIS YOUTH EXCHANGE? | ||
| DO YOU HAVE ANY SKILLS IN EXHIBITION ORGANIZATION/PHOTOGRAPHY? | ||
| ANYTHING ELSE YOU WANT TO SHARE ABOUT YOURSELF | ||
| SPECIAL NEEDS (diet /allergies, etc.) | (PLEASE INFORM US IN ADVANCE!!!) | |
| EXPECTED ARRIVAL DATE/TIME | June 3rd 2013: | |
| EXPECTED DEPARTURE DATE/TIME | June 10th 2013: | |
| EXPECTED AIR/TRAIN FARE COST | €: |
DEADLINE FOR REGISTRATION: March 15th 2013
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