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"Hey There!

Are You
AwarEU?"
APPLICATION FORM
Name:_____________________________ Surname:____________________________
Gender:___________________________

Birth date:___________________________

Age:______________________________

Nationality: __________________________

Place of birth:_____________________

ID number:___________________________

Address:___________________________________________________________________
Mobile phone (with international code):______________________________________
E-mail contact:_____________________________________________________________
Facebook (is going to be necessary for making the facebook group):
____________________________________________
Emergency Contact:_________________________
Please describe your motivation for participation at "Hey There! Are You AwarEU?"
international youth exchange.

Please describe your expectation regarding the youth exchange.

2016-1-PT02-KA105-003023- 2016-1-PT02-KA105-003023
Youth Exchange
Chos, Rio Maior Portugal
14th June23rd June 2016

Please try to describe yourself briefly (your personality, hobbies, school, sports ...).

Language ability (basic/good/fluent)

Specify any requirements that you have (food requirements, health allergies, etc.)

Thank you!

2016-1-PT02-KA105-003023- 2016-1-PT02-KA105-003023
Youth Exchange
Chos, Rio Maior Portugal
14th June23rd June 2016

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