APPLICATION QUESTIONNAIRE

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* 1. Name and surname

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* 2. Date of Birth:

Date

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* 3. Electronic mail

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* 4. Telephone number

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* 5. Nationality (ies):

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* 6. Current Country and City/Town of Residence:

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* 7. Main Occupation:

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* 8. Place of work or (university for students):

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* 9. Please explain your motivation to participate to this workshop (300 words max):

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* 10. Please describe your 1-2 years of experience or interest in promoting gender equality, including any work or initiatives involving men and masculinities to advance gender equality (300 words max):

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* 11. Please attach your cv.

PDF, DOC, DOCX file types only.
Choose File

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* 12. Please confirm your availability to join both sessions of the workshop (16 and 21 January).

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