APPLICATION FORM

SEEDS FOR SUSTAINABLE DEVELOPMENT

Training course 19/27. May 2016.
Rudnik, Serbia
First Name:
Surname:
Adress (street, no, place):
Country of residence
(citizenship):
Gender: male / female
Date of birth (dd/mm/yyyy):
Phone:
E-mail: (this e-mail we will use for contacting
you!)
Facebook
Do you need visa for Serbia:
Special needs (e.g. dietary requirements, allergies...):
Contact person in case of emergency (name and
phone):
Mark your sending organization:

Mark with X

Ritam zdravlja (Serbia) and Environment Engineering

Group (Serbia)
Voluntary Center Skoplje (Macedonia)
Youth center Kosmos (Bosnia and Herzegovina),
Experimentculo Associao Cultural (Portugal)
Association Argonauta (Croatia),
Asociatia GEYC (Romania)
Working language will be English, please tell us your language abilities:
Language/Level
fluent
good
medium
basic
English
Second Language: ______________________
Third language: _________________________
Describe your experience in youth work in a few words (what kind of young people you
are working with or have worked with, methodological approaches used and practical
activities organised).

If you have any international youth work experience can you please describe it.

FB: Inenjeri zatite ivotne sredine - Environment Engineering Group

What is your motivation for attending this programme?

What do you expect from this programme?

How you plan to multiply this training experience, i.e., organise programme or
programmes in response to your participation in the training? What do you think you
can or will do with it? What kind of support might you need to help make things
happen on your return?

Anything else you would like to add in support of your application?

Travel arangment
I will come by (plane, train,
bus...)
Arriving place in Belgrade
Arriving time to Belgrade
Departing place from
Belgrade
Departing time from
Belgrade
From Belgrade to Rudnik and back participants will use bus transfers
starting from Belgrade main bus station www.bas.rs . FInal destination is
bus station RUDNIK (Rudnik mesto, Rudnik bucin grob or Rudnik Bucin grob
T)
DISCLAIMER & AGREEMENT
By agreeing to participate on the project I confirm that I will be responsible for my own
behaviour and will do my upmost to ensure that I am participating and engaged fully
in the whole programme. I agree that the information in this application is correct and
sincere and that I will inform the course organisers of any change in my
application/participation immediately.
FULL NAME:
DATE:
SIGNATURE

All applications need to be returned to izzsns@yahoo.com

FB: Inenjeri zatite ivotne sredine - Environment Engineering Group

by 10 April 2016.

FB: Inenjeri zatite ivotne sredine - Environment Engineering Group