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P.E.A.C.E. - PEACE, eACTIVISM & CAMPAIGNING EDUCATION - Enrollment Application (Closing Date: June 8th, 2018)
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1.
Name
(Required.)
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2.
Surname (Family Name)
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3.
Date of birth
(Required.)
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4.
Gender
(Required.)
Male
Female
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5.
Obligatory contact information
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Email
Mobile (in this format +34635891842)
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Optional contact information
Facebook ID or link
Skype ID
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7.
Country
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8.
Represented organisation
(Required.)
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9.
Current occupation
(Required.)
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10.
Current involvement with and experience in your organisation
(Required.)
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11.
How did you first learn about this call for participants?
(Required.)
From my sending organisation
From a friend
From Internet
Other (please specify)
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12.
English is the working language of the Peace Work Institute: how do you rate your proficiency in it? (1 minimum - 5 maximum)
(Required.)
1 star
2 stars
3 stars
4 stars
5 stars
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13.
Your personal motivation statement for getting involved in this project
(Required.)
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14.
How can you contribute to the implementation of this project?
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15.
How do you plan to use in the future what you learn during this study session?
(Required.)
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16.
Please let us know if you are really good at know-how, which may have an added value in securing the success of the overall Peace Work Institute scheme?
(Required.)
Crowd funding
Online campaigning
Expository writing in English
Project development and management
Blogging
Filmmaking
Digital or artistic design
Web-design
Other (please specify)
17.
Reference person
Name
Position
Organisation
Email of the reference person
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18.
What do you know about the Roots for Reconciliation? Please visit our webpage at rfr.ymcaeurope.com for more information.
(Required.)
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19.
YMCA Europe is not using or transferring your personal data for any purpose. All the date will stay stored safe in this form. If you want us to save your email address in our MailChimp account and add it to our newsletter list, click on the YES box below. You can unsubscribe any time, at your convenience. If you do not want to receive our newsletter, click on NO. Thank you!
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YES, I do want to receive Newsletters
NO, I don`t want to receive Newsletters