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APPLICATION FORM FREESBEE  BE FREE FROM STEREOTYPES! 2329 APPLICATION FORM FREESBEE  BE FREE FROM STEREOTYPES! 2329




APPLICATION FORM

"FreeSbee - be free from stereotypes!"


23-29 May, 2011

Nizhny Novgorod, Russia


PLEASE FILL THIS FORM IN AND SEND TO

([email protected])


Sending organization:

Name of the organization: AVI Moldova



Address: Moscova bd. 14, off.2

Post code: MD2068

Country: Moldova

Tel.: 373 22325981

Fax: 373 22325981

e-mail: [email protected]

Website: www.avimd.org


Participant:

First name:


Last name:


Sex:


Date of birth:


Nationality:


Address:


Post code:


Country:


Tel:


Fax:

Mob:


e-mail:


What languages do you speak?


In case of emergency:

Name


Last name


Tel:


e-mail:



If you need visa:

Passport number:


Date and place of issue of your passport:


Expiry date:


Name of issuing authority:


Place of birth:


Previous visits in Russia (dates and reasons):


Applying for the visa (city in your country)


What is your occupation?


What cities in Russia do you plan to visit?



Estimation of your travel costs:

Expected dates of arrival and departure:

Arrival



Departure




We kindly ask you to answer the following questions, this information will help us to adopt the program to your needs.


  1. Your general motivation for participation in this training course:







  1. Please describe briefly your previous experience of leading events or projects. (any groups, workcamps or other international (national) projects)





  1. In which topics of the training course you are especially interested and why?








  1. What can be your own contribution to this training course?







THANK YOU!



Please return this form to [email protected] till 05.05.2011


2018 INTERNATIONAL SUMMER SCHOOL COURSE TEACHING APPLICATION FORM
20XX WRITTEN QUESTIONS ON APPLICATION GUIDELINES AS WE
23 DATE FEBRUARY 23RD 2009 SUBJECT APPLICATION


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