Application for participation in an event

Only for development NGOs in new EU member states and EU accession
countries!
Only for events within the EU!
Please send your application minimum three weeks prior to the event.
. Applicant!
1. First Name:
2. Surname:
3. Sex (m/f):
4. Age:
5. Nationality:
6. our fun!tion or role "it#in t#e organisation:
". #nformation on the event
$. Name of t#e e%ent:
&. 'la!e an( (ate:
). *ain t#emes of t#e e%ent (+lease atta!# t#e +rogramme/agen(a):
1,. -rgani.ers of t#e e%ent:
$. #dentification of your Or%anisation
11. -rganisation (name an( a!ronym):
12. A((ress (street):
13. /ity:
14. 'ostal !o(e:
15. /ountry:
16. 0ele+#one:
1$. Fax:
1&. 12mail:
1). 3e4 site:
2,. S!o+e an( main a!ti%ities of t#e organisation:
21. 5o" is t#e organisation alrea(y "or6ing on t#e t#emes of t#e e%ent7
22. 5o" "ill your organisation assure t#e follo" u+ of t#e e%ent in your !ountry7
&. 'ack%round information of the applicant!
23. 3#y #a%e you 4een sele!te( to +arti!i+ate in t#e e%ent7 3#at8s your ex+erien!e in t#e
fiel( of t#e e%ent7
24. 3#i!# similar international e%ents (i( you 9oin in t#e +ast7
25. 3#at (o you ex+e!t to learn from t#e e%ent an( #o" "ill you a++ly it after"ar(s in your
!ountry7
(. )inance
26. 5o" mu!# money (o you re:uest from 0;<A=->7
Please note that the maximum amount that can be requested is EUR 350,- for travel
and EUR 65,- for accommodation incl. breafast!ni"ht. Please loo carefull# for the
best $rice offers.
*ravel costs!
)rom + *o!
Accommodation costs!
Other ,please specify-!
2$. 3#at is t#e !ontri4ution of your organisation7
2&. <s any4o(y else !ontri4uting to t#e !osts7
.. /eimbursement
2). ?ate @ time of arri%al (+lane / train / 4us arri%al):
3,. ?ate @ time of (e+arture (+lane / train / 4us (e+arture):
31. For e%ents organise( 4y 0;<A=-> +lease s+e!ify if you #a%e any s+e!ial (ietary
re:uirements (e.g. %egetarian)7
32. For e%ents organise( 4y 0;<A=->A to a(#ere to t#e +rin!i+les of effi!ien!y an(
(e%elo+ment !oo+eration +rin!i+le( finan!ial managementA "e "oul( as6 you to s#are
your #otel room. ou !an gi%e your +referen!es regar(ing your room mate a!!or(ing to
t#e +arti!i+ants list of your e%ent.
esA < "ill s#are a room.
< "oul( li6e to s#are "it#:
NoA < +refer a single room
)or events or%anised by */#A0OG1 in case of a 2no show3 or cancellation after
the set deadline we have to char%e you the costs of the hotel cancellation.
Please note that */#A0OG will only reimburse the a%reed costs in case you
participate in the whole event from the be%innin% till the end. *hus1 please
choose the travel schedule accordin%ly.
*/#A0OG stron%ly encoura%es travellin% with low 4O" emissions.
?ate: 0ime:
?ate: 0ime:

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