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* 1. INFORMATION ON THE APPLICANT. 
Surname (Family / last name):

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* 2. First name:

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* 3. Gender:

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* 4. Age:

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* 5. Nationality:

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* 6. Country of residence:

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* 7. Mobile telephone (please include country code):

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* 8. E-mail :

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* 9. Do you have any access needs or requirements (e.g. dietary, disability, etc.)? If yes, please provide more information about these needs, with specificities about the required support from the organisers.

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* 10. VISA - If you are accepted as a participant on this activity, will you require assistance in obtaining a visa to Ukraine or Poland?

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* 11. INFORMATION ON YOUR ORGANISATION
Name of the organisation:

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* 12. Website of the organisation:

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* 13. Please describe briefly the mission of your organisation and its work with young people.

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* 14. Is your organisation intending to have new co-operation project with young people from Ukraine?

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* 15. Is your organisation planning to apply to the EYF for the special call in support of young people from Ukraine?

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* 16. EXPERIENCE AND MOTIVATION
What is your experience in international youth co-operation? Please refer to how many years of experience you have, and also what kind of experience this is.

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* 17. What is your role in your youth organisation?

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* 18. Why would you like to attend this activity and what do you expect to learn more about?

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* 19. What is your interest in attending the events?

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* 20. Please upload here an official support letter by your organisation that indicates that your organisation agrees that you represent them in this activities.

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* 21. Please confirm that you have taken note of the security considerations about attending the activities, as indicated in the call for participants.

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