EUROPEAN SOLIDARITY CORPS Participants Survey Form — Solidarity Projects Document cdo: ESC-Sabasrty-2001 1 Purpose of the Participant Survey ‘This survey on your European Solidarity Corps experience will provide valuable information which wil Penefit both future participants and contribute to the continued improvement of the Programme. We are rate for Your co-operation in filing out the questionnaire. This exercise should not take moze than 10 minutes. Al personal data mentioned inthis form wil be processed in accordance with Regulation (EC) No 2018 1785 of the European Parliament and of the Council of 23 October 2018 on the protection of natural Persons with regard to the processing of personal data by the European Union institutions, bodies, offices and agencies and on the free movement of such data. This survey, once submitted, willbe accessible to the coordinating institutions, their national agencies and the European Commission, More details in Specific Privagy statement 2 Identification of the Participant and General Information *2.1 First and last name ‘See section "Publication and Usage Rights of the Information and of the Email Address" at the questionnaire concerning usag | ALEK ANY ADM) Ue +22 PRN Text of 10 f0 16 characters wil be accepted See section "Publication and Usage Rights of the Information and of the Email Address" atthe end ofthis questionnaire conoeming usage ol the personal information 6460540 3b LL IS | *2.3 Email address where | can be contacted in the future ‘Sea section "Publication and Usage Rights of the Information and of the Email Address” at the end of this questionnaire concerning usage of the personal information. Please correct this email address if nacessaty. | akxama buamamana Laij@ qt com Scanned with CamScanner“24 At the start of your Soidaiy Project, you were mainly ~ @ Pupil (secondary school student) @ student at a university, higher education institution 7 aPprentice/student in vocational education and traning an interntrainee on a work placement 2 fulltime employee a parttime employee sellemployed unemployed a volunteer © other “2.5 If other, please specif 2.6 Do you consider that in your life you faced at least one of the following barriers, putting you at a disadvantage compared to other persons of the same age, status, or ability: "Diaby sped needs 2. merlin conte ani sal sensor | | orather alsabities | + Health problems - e.g. chronic health problems, severe illnesses or asychiatrc conditions * Educational difficulties - e.g. fearing aiiticutes, early schoolteaver, poor sehoo! pertormance * Cultural differences - e.g. immigrant, refugee or with immigrant or retugee family background, belonging to a national or ethaie minority + Economic obstacles - eg. ow standard of living, low income, dependence on social weltare system, long-term unemployment or poverty, debt or financial problems | + Soctal obstacles - eg. facing alscrimination because of gender, ethnicty, religion, sexual orientation - * Geographical obstacles - e.g. om remote or rural areas, young peaple living on small | islands or in peroheral regions, young people from urban problem zones, young peoole ‘from less serviced areas (imited public anspor, poor facilities) *2.7 Did you take par in a networking activities organised by the National Agency to support the implementation of your project? @ Yes © No Scanned with CamScanner*2.8 Were you satistied with this activity? © Vos No + 2.9 Was your project supported by a coach? @ vos No + 2.10 Did you person: ves No ly bonofit from the support of the coach? 3 General satisfaction “3.1 How satisfied are you with your European Solidarity Corps experience? © Very satisfied Rather satisfied Neither satistied nor dissatistied Rather dissatisfied Very dissatisfied 3.2 It you wish, provide additional comments about your European Solidarity Corps experience. You can highlight both positive and negative aspects. 4 Use of the Youth Portal *+4.1 Was it easy to use the Youth Portal? @ Yes No + 4.2 Did you participate in the online training available on the European Solidarity Corps portal? @ Yes © No *4.3 How satisfied were you with the online training? © Very satisfied Rather salistied ‘Neither satisfied nor dissatisfied Scanned with CamScannerRather dissatistied ‘Very dissatisiod 5 Making a change 2Making a change “541 Do you fee! you mace a postive chinyyo i ths emmunn tT ‘ re ny Val sped yr No Not relevant 5.2 It you wish, provide additional commants Aout tho inp you hae on yor focal community mu m 6 Learning outcomes *6.1 Through my participation in this activity | learned betler how to... Multiple answers are possible. 1B think logical and draw conclusions (analytical sis) A find solutions in dificult or challenging contexts (problem-solving ski) 1 plan and carryout my leaming independently B express myself ceatvely 1 use intemnet, social media and PCs , 2g. for my studies, work and personal activities HG communicate and express mysell in my mother tongue W develop an idea and putt ino preci O see the value of ciferent cutures B cooperate in teams HH plan and organise tasks and activites *6.2 After having taken part in this activity. ‘tp WB 1 am more confident and convinced of my abilies HE know better my strengths and weaknesses 1am more able to adapt to and act in new situations s ate possible, 1 Lam more able to think and analyse information eiicaly Lam more tolerant towards other persons values and behaviour 1G. am more open-minded and curious about new challenges 1 ‘intend to participate more actively inthe social and poltica le of my community 11 1am more interested in knowing what happens in he word dally B Lam more abe to each decisions Scanned with CamScanner@ Lam more able to cooperate with people tom other backaronniti ancl eure 8D 1 am more interostod in European topies Beat wore European tam noe avaro ots ial and political eoncepts ie damnoctavy, stem, aqyaaly, eliza, al gh 6.3 Il you wish, provide adeitional comments aboult your parsonal actavemonits (yon can highlight oth Positive and negative aspects “6.4 Have you received a certificate diploma or document that doscribos and validates tho competences ‘acquired during your European Solidarity Corps activily (ie Youthpass, Europass)? 8 Yes 2 No 6.5 If you wish, please give additional comments about this (you can highlight both positive and negative aspects) 7 Future Prospects of Education, Training and Work *7.1 Thanks to this European Solidarity Corps activity Mutple answers ate possible. Tl I got a clearer idea about my future educational path @ | got a clearer idea about my professional aspirations and goals i My job chances have increased am more ready to pursue further education or training (formal, non-formal, vocational) *7.2 Are you planning to take part in further European Solidarity Corps activities? @ Yes © No 8 General Comments and Recommendations 8.1 If you wish, provide any additional information, observations, comments or recommendations that may be useful for future projects as well as to the National Agency or the European Commission. Scanned with CamScanner9 Publication and Usage Rights of the Information and of the Email *9.1 1 am willing to help future participants based on my experience. They can contact me at my e-mail address. ® ves 2 No *9.2 | agree that (parts ofthis survey can be published and made available to the general public. © Yes, with my name and e-mail address Yes, but anonymised (no name and no e-mail address) ) No *9.3 | agree that my email address will be used later to contact me for further studies related to the content of his survey or regarding the European Solidarity Corps and EU issues. ® Yes No Scanned with CamScanner aEUROPEAN SOLIDARITY Corrs Participants Survey Form — Solidarity Projects [ ots mated wn nay, Docent nt 1 Purpose of the Participant Survey This survey on your European Solidarity Corps experiance wil provide valuable information which vill benefit bot future participants and contribute to the continued improvement ofthe programme, Vio aro {grateful for your co-operation in fling out the questionnaire, This exercise should not take more than 10 minutes. Ail personal data mentioned in this form will be processed in accordance with Regulation (EC) No 2018 1725 of the European Parliament and of the Council of 23 October 2018 on the protection of natural Persons with regard to the processing of personal data by the European Union institutions, bodies, offices and agencies and on the free movement of such data. This survey, once submitted, will be accessible to the coordinating institutions, their national agencies and the European Gommission. More details in Specific Privacy statement, 2 Identification of the Participant and General Information * 24 First and last name Sce section "Publication and Usage Rights ofthe Information and ofthe Email Addr questionnaire concerning usage ofthe personal information ALA MUSTATA +22 PAN Text of 1010 16 characters willbe accepled See section "Publication and Usage Rights ofthe Inlarmation and of the Email Address” at tne end of this ‘questionnaite concerning usage of the personal information | 5460-0 8616-190 48 + 2.8 Email address where | can be contacted in the future See section "Publication and Usage Rights ofthe Intormation and "atthe end ofthis, ne Email Address" at the end of this questionnaire concerning usage ol the personal information. Please rec this envall address if necessary. ant. aliina @ yatso- Ad- Scanned with CamScanner2.4 A the start of your Solilarily Project, you wore mainly... ‘4 pupil (eocondary schoo! student) Udon! al a university, higher education inaittion "fn apprentico/student in vacations eeucstion ane traning an intorntvainoo an a work placement © A tuittine omployon apatttine employes * soll-employed unamployed A volunteer other *26 lothor, please specify 2.6 Do you consider that in your ite you faced atleast one of the following barriers, putting you at a cisadvantage compared to other persons ofthe same age, status, or abit: + Disabity special neees — ag, mental (melectuas cagntve, leaning), physical, sensory By or other disabilities | wroneret _ _ 4 |+ Heath problems - e.g. ctvonic heath problems, severe iinesses or psychiatric condiions ° |- Educational ifcutes- a. earning dfculies, ear schooteaver, poor schoo! outs | performance | + Cutural differences - eg. immigrant, refugee or with immigrant or refugee family o1e I. ‘background, belonging ta 2 national or ethnic ‘minority * Economie ebslacles- 2 low standard of hing, low ncome, dependence on social welare system, long-term unemployment or povery, debtor nancial problems + Social obstacles - e.g. facing olscrimination because of gender, ethnicly, religion, sexual | orientation | * Geographical obstacles ag. am remote or nal areas, young people ving on small ‘slands arn peripheral regions, young people ‘rom urban problem zones, youngppeople | (tom ess sence areas ied pub anspor, poor facies) \ is | i. | | + 2.7 Did you take part in a networking activities organised by the National Agency to support the implementation of your project? @ Yes No Scanned with CamScanner2.8 Were you © Satie wit this No *2.9 Was your pro © ve No cupped oy aon *2.10 Did an No 70 personally benefit from the 3 General satisfaction “8.1 How satisfied are you with your European Sotdanty Comps expanence? O Very satistios Rather satis Noither sanetied nor dssatictecs Rather discatetieg Vary dissavetieg 3.2 I you wish, provide adettional coer hightight both positive and neg. about your European Soldanty Corps experience. You can 0 asp 4 Use of the Youth Portal *+4.1 Was it easy to use the Youtn Portal? 0 Yes No *+4.2 Did you participate in the online training available on tne European Solidanty Corps portal? @ Yes 2 No + 4.3 How satisfied were you with the online training? © very satstes Ratner satistied Nether satisfied not dissatisfied ————— Scanned with CamScannerPatho Vory is Hato iia 5 Making a change 5.1 Do you feel you mide a positive clung i the eamarunily vate ranged Ye your Hanged ret? 8 Yes No Not rolovant 5.2 I you wish, provide add local community nal comments about the Impact you had on your target groupes or the wider 6 Learning outcomes *6.1 Through my patiipaton inthis activity I leamned better how to.. utp answers are possible W tink logically and craw concusions (analytical skis) ind solutions in ditfieut or challenging contexts (problem-solving sis) A plan and cary out my learning independently © express mysel creatively 17 use intemet, social media and PCs , eg or my studies, work and personal activities 7) communicate and express myselt in my mother tongue {develop an idea and putt into practie 1 see the value of diferent cutures cooperate in teams plan and organise tasks and activites *6.2 After having taken part in this activity. Mutipie ansviors are possible BP 1am more confident and convinced of my abies © tenow better my strengths and weaknesses WI | am more able to adapt to and act in new situations 1am more abe to think and analyse information critcaly 1 1am more tolerant towards other persons values and behaviour (B | am more open-minded and curious about new challenges Ginter to participate mere actively in the social and policl ite af my community 1 1am more interested in knowing what happens inthe word daly W Lam more able to reach decisions Scanned with CamScanner2 steel more European 0) a mare aerate of social an pr tnoctagy, justice, equal, chizensinp. chal righls 83 It you wish, provide additional comments about your personal achiev positive and negative aspects} nents (you can hightight both "6.4 Have you received a certificate, diploma or document thal describes and validates the competences ‘acquired during your European Solidarity Corps activity (ie Youthpass, Europass)? ® Yos 2 No 6.5 Ii you wish, please give additional comments about this (you can highlight both positive and negative aspects) 7 Future Prospects of Education, Training and Work *7.4 Thanks to this European Solidarity Corps activity, ple 7 I got a clearer idea about my future educational path C1 I gota clearer idea about my professional aspirations and goals @ My job chances have increased G1 am more ready to pursue further education or training (formal, non-formal, vocational) are po: *7.2 Are you planning to take part in further European Solidarity Corps activites? 0 Yes © No 8 General Comments and Recommendations 8.1 If you wish, provide any additional information, observations, comments or recommendations that may be useful for future projects as well as to the National Agency or the European Commission. Scanned with CamScanner9 Publication and Usage Rights of the Information and of the Email + 9.4 Lam witing to holp fulura participants based on my experiance. They can contact me at my e-mail addross. » You No +9,2 | agroe that (parts of) this survey can be published and made available to the general public » Yos, with my name and o-mall address +9.3 | agree that my email address will be used later to contact me for further studies related to the content of this survey or regarding the European Solidarity Corps and EU issues. © Yes WENO Scanned with CamScannerEUROPEAN SOLIDARITY Participants Survey Form — Solidarity Projects iets mvatked with * ave mandy, 1 Purpose of the Participant Survey [is survey on your European Solari Corps experience will provide valuable intermaton which wit Perel both lulu partejpans and contout othe continued improvement cf the poranmme, se Staelul for your co-operation in filing out the questionnaire. This exercise should not take more than +0 minutes, Al personal data mentioned in his farm willbe processed in accordance with Regulation (E) No 2018 (1725 of the European Parliament and of the Council of 23 October 2018 on the protection of natural Persons with regard to the processing of personal data by the European Union institutions, bodies, otfices and agencies and on the free movement of such data, This survey, once submited, will be accessible to {ne coordinating inttutons, their national agencies and the European Commission. More details in Specie Privacy statement 2 Identification of the Participant and General Information *2.1 First and last name ction "Publication and Us Rights ofthe Infarmation and of the Vannaire congerning usage of the personal information ANLKEESCU Apel. *2.2 PRN Text of 10.10 16 characters wil be accepted Seo section “Publication and Usage Rights of the Inlormation and ol the Email Address” at the end ot this, jonnaire cont O1 OB GLY P7240 1022 *2.3 Email address where | can be contacted in the future il of the Email Addess atthe end ofthis Publication and Usage Rights of the Intarmiation and of the Ema Ad it ring usage of the personal informalio See tion questionnaire concerning wsiaye at te persanat wfonnation 18@ Correct this 58 if necessary, amdrecseu. oloout2@ (orn. wom Scanned with CamScanner*2.4 AL ihe stat of your Solanity Project, you v re mainly papi secenmtny sefvoot shen shud al a university, higher education institution Aan apprenticnysiadent in vocational education ane talning av inlornivainne ort work placoment afl tne employer pt tine employe cot employed unemployed a volunioer © thor 2.5 W other, please specity 2.6 Do you consider that in your ife you faced at least one ofthe following barriers, putting you at a cisadvantage compared to other persons of the same age, stalus, or ability: Yes No + Disabily/ special needs - eg, menta/ftelectua, cogntiv, leaning) physical. sensory a | orotterotabites “Heal problems 2% cron heath problems, severe Anessesorpsyonaneconaions | Educational dificulies- e.g. learning ailculies, early schoobleaver, poor schoo! | pertormance | |+ Cultural ferences - e.g. immigrant, refugee or wi inmigrant or retigesfamiy =r backorund btergng toa natena rac minty | | |+ Economic obstacles - eg. low standerd of vig, fow income, dependence on social wolere | system, fong-lorm unemployment or povery, debtor nancia problems j | Social obstacles - e.g. facing discrimination because of gender, ethniciy, relgion somal | ‘orientation I - . | Geographical obstacles - e.g. om remote or rural areas, young people living on small = | ‘islands or in peripheral regions, young people from urban problem zones, young people — | | tom less soniced areas (linted ube transport poor facies) i +2.7 Did you take part in a networking activities organised by the National Agency to support the implementation of your project? © Yes © No Scanned with CamScannerjot with this activity? +2.8 Ware you sat Y Vos No *2.9 Was your project supported hy a eoach? ¥ vos No *2.10 Did you personally benolit from the support of tha sone? W yos, No 3 General satisfaction + 8.1 How satisfied are you with your European Solidarity Gorps oxporionca? W! Very satistied Rather satisfied Neither satisied nor dissatistiod © Rather dissatistied © Very dissatistiod 3.2 If you wish, provide additional comments about your European Solidarity Corps exporiance, You can highlight both positive and negative aspects. 4 Use of the Youth Portal + 4.1 Was it easy to use the Youth Portal? @ Yes > No +42 Did you participate in the online training available on the European Solidarity Corps portal? ® Yes © No + 4.3 How satistied were you with the online training? © Very satisfied © Rather satisfied © Neither satistied nor dissatistiod Scanned with CamScannerHeth vata! ‘Yony atest 6 Making a ahanige 6.10 you Tol yi ale a prolives olangne tha cena nib eospeac ts yrs are goe ® yon oN © Not roloyant $32 you wil, proviel adtionn comnnten ont Mer act you hal on your tare rene oF te ier ‘ooa eonnnanity 6 Learning outcomes *6.1 ‘Through my participation in ths actly | anal better howto ‘Hunter one asl, 12) think togealy and draw conctlono (anata ok) {8 tind wotuitons in cite or ealonging contort (prblemn-olving skits) IC] plan and anny out my foaming indopondonty 4U oxproao mya! eroatvoly 12 so itor, octal modia and PCs, 0. for my studios, work and personal activities, WI communicate and exprose mygoll in my mother tongue C1 dvotop an doa and putt nto pracien £1 n00 tho value of diforontcuturos WD cooporate in toams I plan and organise tasks and activities *6.2 Allor having taken part in this activity. Mutips ano WI 1am moro confidant and convinced of my abilities WW I know bottor my strongths and weaknesses. VI 1am more abla to adapt to and act in new situations I Lam moro ablo to think and analyse information critically {5 1am moro tolerant towards other persons’ values and behaviour W. 1am moro open-minded and curious about new challenges (7) Lintond to participate more actively in the social and political lite of my community [5 1am more interested in knowing what happens in the world daily AW | am more able to reach decisions: 1 possible, Scanned with CamScanner| am mote able to cooperate with peopl fri oth Bam more interested in Earopoan topic W tee! mere Emopwean # tammowo 10 of Socal andl politica concepts Hee denny y, cllaanatip, cal ey, tien 6.3 Ml you wish, provide additional comments about your personal achievements (you san highlight oth positive and negative aspects} *6.4 Have you received a certilicate, diploma or document that describes and validates the competences ‘acquired during your European Solidatity Corps activity (ie Youthpass, Europass)? ves © No 6.5 If you wish, please give additional comments about this (you can highlight both positive and negative aspects) 7 Future Prospects of Education, Training and Work +71 Thanks to this European Solidarity Corps activity Mutt answors are possible. W I cot a clearer idea about my future educational path Gi Igot.a clearer idea about my professional aspirations and goals Gl My job chances have increased © 1am more ready to pursue further education or training (formal, non-formal, vocational) *7.2 Are you planning to take part in further European Solidarity Corps activities? ® ves © No 8 General Comments and Recommendations 8.1 If you wish, provide any additional information, observations, comments or recommendations that may bee uselul for future projects as well as to the National Agency or the European Commission. Scanned with CamScanner9 Publication and Usage Rights of the Information and of the Email +9. Lam willing to holp future partic cipants based on my exparience, They can cantact me at my & *9.2 | agree that (parts of) this survey can be published and made available to the general public © Yes, with my name and e-mail address ‘Yes, bul enonymised (no name and no e-mail address) P No *9.3 | agree that my email address will be used later to contact me for further studies related to the content Of this survey or regarding the European Solidarity Corps and EU issues. © Yes No Scanned with CamScannerEUROPEAN SOLIDARITY CORPS Participants Survey Form — Solidarity Projects H | Fields market wih * aro mandatoy | ncumant ta ESC Sebshy 200% 1 Purpose of the Participant Survey This survey on your European Solidarily Corps experience will provide valuable information which will benefit both future participants and contribute to the continued improvement of the programme. We are ‘grateful for your co-operation in filing out the questionnaire. This exercise should not take more than 10 minutes, All personal data mentioned in this form will be processed in accordance with Regulation (EC) No 2018 9728 of the European Parliament and of the Council of 29 October 2018 on the protection of natural Persons with regard to the processing of personal data by the European Union institutions, bodies, offices ‘and agencies and on the free movement of such data. This survey, once submitted, will be accessible to the coordinating institutions, their national agencies and the European Commission. More details in Specific Privacy statement. 2 Identification of the Participant and General Information * 2.1 First and last name See section "Publication and Usage Right the Information and of the Email Address” at th ine nation KARES _ PANA/T. +2.2 PRN Text of 10 10 16 characters will be accepted ‘See section “Publication and Usage Righis ot the Information and of the Email Address” atthe end of his, ‘questionnaire can, CFIA 73 96 90098 *2.3 Email address where | can be contacted in the future ‘See section “Publication and Usage ui Rights of the Information and of the Eniail Addess” atthe end of this lionnaire concerning usage of the personal information, Please corract this email address il necessary ( hoheshovaaa O gnark.com Scanned with CamScanner+24 Ai the start of your Soidnily Project, you wore mainly, «a pupil (secondary schoo! ston) ® a student at a univorsity, higher aclucation institution au apprenticoshont fy voetionn dha vi Wan A inienntesines on n work placement A fulltime employoo a partie empayon soltemployed tnompoyed A volunion: © other +25 Hother, please specily 2.6 Do you consider that in your life you faced at least one of the following barriers, putting you at a disa status, or ability: | os |= Disebity/ special need | orother isabities + Educational ditcuties - ag. eaming aifeutie, early shoal eaver, p00” scree! performance + Cutural dilerences- eg. inmigran, eligeeor with immigrant or rotigee family |_ Beeteroune belonging to anatonalor etn minty + Economic cbstacles -e lw standard of ving, low income, dependence an seca nelare system, fog term unemployment or poverty, deb ar thane problems {+ Social obstacles - eg. facing discrimination because of gender, ethnily, religion, sexual | entation * Geographical obstaces- e.g. om remote or rural areas, young people living on small ‘lands or in perjpherat regions, young people from urban problem zones, young people ‘rom less serviced areas (inited pubic ranspor, poor tecites) * 2.7 Did you take part in a networking activities organised by the National Agency to support the implementation of your project? ® Yes © No Scanned with CamScanner No* 2.8 Were you satisied with this activity? V Yes No * 2.9 Was your project supported by a coach? ® Yes No *2.10 Did you personally benelit from the support of the coach? W ves No 3 General satisfaction *3.1 How satisfied are you with your European Solidarity Corps experience? W Very saisfed ©) Rather satisfied > Neither satistied nor dissatisfied ‘© Rather dissaistied © Very dissatistied 3.2 Ifyou wish, provide additional comments about your European Solidarity Corps experience. You can highlight both positive and negative aspect. 4 Use of the Youth Portal *4.1 Was it easy to use the Youth Portal? ® Yes 3 No *4.2 Did you participate in the online training available on the European Solidarity Corps portal? @ Yes ® No .3 How satisfied were you with the online training? ® Very satisfied © Rather satistied © Neither satisied nor dissatisfied Scanned with CamScanner* Ruther dlasalistiod © Voy discatstiod 5 Making a change * 5:1 Do you fool you made a posilive change in the community with respect to your target group? ® Yos No > Not relevant 5.2 It you wish, provide additional comments about the impact you had on your target groups or the wider local community 6 Learning outcomes “6.1 Through my participation in this activity I learned better how to. Mutiple answers are possible. (W think logically and draw conclusions (analytical skis) [Gi find solutions indict or challenging contexts (problem-solving sks) 1B plan and cary out my lemming independenty CI express mysel creatively 1 use intemet, social media and PCs , eg for my studies, work and personal activities communicate and express mysel in my mother tongue {fl develop anidea and putitinto practice 5 see the value of ferent cultures [Bh cooperate in teams UB plan and organise tasks and activites 6.2 Alter having taken part in this activity Mutipte answers are possi BI 1am more confident and convinced af my abilities W know better my strengths and weaknesses (Gl 1am more able to adapt to and act in new situations {BF 1am more able to think and analyse information critically 1am more tolerant towards other persons’ values and behaviour [Gi 11am more open-minded and curious about naw challenges 1 intend to participate mare actively in the social and paltical fe of my community GA 1am more interested in knowing what happens in the world daily © tam more able to reach decisions Scanned with CamScanner15 tam move atte 19 ey Blam nominiited nti me" BON WP Hoot monn wropean Ri tam ‘more MENAED Ot aia AML HE SH you wis 6 aly rersonal achiavemey sh. provlelo ndkttional commons pant "8 Ahan your ersonal achievements (ye 6am hightiaht both “6-4 Have you received a cettiticate, Acquired during your Euro ® Vos No diploma oF document that describes and , validates the competences, ean Solidarity Corps activity (i.e Youthpass, Eur pass)? 6.5 I! you wish, please give addi a comments abo his (eu cn hig oh poste an soa aspects) ms 7 a 7 Future Prospects of Education, Training and Work *7.4 Thanks to this European Solidarity Corps activity, Mutipte answers are possible. W 1 gota clearer idea about my future educational path [1901 a clearer idea about my professional aspirations and goals Oi My job chances have increased £1 1am more ready to pursue further education of training (formal, non-formal, vocational) *7.2 Are you planning to take part in further European Solidarity Corps activities? © Yes © No 8 General Comments and Recommendations 8.1 If you wish, provide any additional information, observations, comments of recommendations that may : f i ission. be useful for future projects as well as to the National Agency or the European Commissi Scanned with CamScanner9 Publication and Usage Rights of the Information and of the Email +9.1 1am willing to help future participants based on my experiance. They can contact ri address. © Yes No *9.2 | agree that (parts of) this survey can be published and made available to the general public. © Yes, with my name and e-mail address © Yes, but anonymised (no name and no e-mail address) No +9. | agree that my email address willbe used later to contact me for further studies related to the content of this survey or regarding the European Solidarity Corps and EU issues. © Yes ® No Scanned with CamScannerEUROPEAN SOLIDARITY CORPS Participants Survey Form — Solidarity Projects Document orto: €86-Salidarty. 2021 1 Purpose of the Participant Survey This survey on your European Solidarity Corps experience will provide valuable information which will benefit both future participants and contribute to the continued improvement of the programme, We are {gratetul for your co-operation in filing out the questionnaire. This exercise should not take more than 10 minutes, All personal data mentioned in this form will be processed in accordance with Regulation (EC) No 2018 17285 of the European Parliament and of the Council of 28 October 2018 on the protection of natural Persons with regard to the processing of personal data by the European Union institutions, bodies, offices and agencies and on the free movement of such data. This survey, once submitted, will be accessible to the coordinating institutions, their national agencies and the European Commission. More details in Specific Privacy stalemen 2 Identification of the Participant and General Information * 2.1 First and last name tion “Publication and Usage Rights of questionnaire concerning usage of the 3 the Email Address” at the W of this SOARE STEFANIA +2.2 PRN Text of 10 to 16 characters will be accepted See section "Publication and Usag ct the Inf ail Address" at the end ofthis 2 correct this i address il nex Fefansasooke BO paar, c&mt Scanned with CamScannerAEA AL es hav ot yoo Sebel Wegued yet ae rly Aga en sian hed stent © sn series ot nha, Sir eaten nase AW apne etn vial exh at enone Ye anor uh fae angizqon A pa tne semper fll exnpeiyed unenpdaet otha +2.5 Mother, ploase speraty 2.6 Do you consider that in your ite you faced at least one of the following barriers, putting you at a disadvantage compared to other persons of the same age, status, of ability * Disability special needs ~ ag, mental intellectual, cognitive, learning), physical, sensory or othor dsabiltes * Health problems - e.g. chronic health problems, severe iihesses or psychiatric conditions * Educational diiculies - e.g. earning aiticulies, early schootteaver, poor school performance * Cultural dillerences - e.g. immigrant, refugee or with immigrant or retugee family ‘background, belonging fo a national or ethnic minority * Eoonomic obstacles - ex. low slanda of ving, ow income, dependence on social wellare -syslom, longterm unemployment or poveny, debtor nancial problems - * Social obstacles - e.g. facing discrimination bscause of gender, ethniciy, religion, sexual orientation * Geographical obstacles - eg. ram remote o rural areas, young people living on small | ‘lands orn perpneraleqon, young people tom urban problem zones young people ) |_ 10m less serviced areas (hie pubic anspor, poo acities) *2.7 Did you take part in a networking activities organised by the National Agency to support the implementation of your project? ® Yes © Wo Scanned with CamScanner©2248 Wore you nation wth this aotivly? You No *2.9. Woa your projact auppottod by 1 comely? Vos No *2.10 Did you porsonally bonafll (om Iho support of thy coachy? ¥ Vos © No 3 General satisfaction *3.1 How satistiod ara you with your Y Very satistiod © Rather satistiod © Neither satisiod nor dissalistiod © Rather dissatisfied © Vory cissatistiod sropoan Solidarity Corps exporience? ‘3.2 If you wish, provide additional comments about your European Solidarity Corps experience. You can highlight both positive and negative aspects. 4 Use of the Youth Portal *4.1 Was it easy to use the Youth Portal? * 4.2 Did you participate in the online training available on the European Solidarity Corps portal? Y ves © No *4.3 How satisfied were you with the online training? & Very saistied © Ralher salistied © Neither satisfied nor dissatistied Scanned with CamScannerRather dissatisfied Very dissatistiod 5 Making a change “8.1 Do you fool you made a positive change in the commu @ Yes No ly with respect ta your target group? Not relevant 5.2 Myou wish, provi ide additional comments about the impact you had an your target groups or the wider local community 6 Learning outcomes 76.1 Through my participation in this activity | learned better how to, 2 possible think logically and draw conclusions (analytical skis) ind solutions in elicu or challenging contexts (poblem-soling skis) I plan and carry out my leering independently 1 express mysol creatively IN use inter, social media and PCs , 9, or my studes, work and personal actives ® communicate and express mysot in my mother tongue i develop an idea and putitinto practice IN see the value of diferent cutures cooperate in teams TB plan and organise tasks and activites 6.2 After having taken part in this activity. Muhiple | am more confident and convinced of my abilities, know better my suengths and weaknesses 11am more abe to adapt to and actin new situations Bt am more abe to think and analyse information cricaly ‘81 1am more tolerant towards other persons’ values and behaviour {§ | am more open-minded and curious about new challenges intend to participate more actively inthe socal an poltical Me of my community {8am more interested in knowing what happens inthe word dally 3 1am more able to reach decisions Scanned with CamScanner1 ar ne af eva Wh pac Han oMiae ahgweit ai WE Lav ue ipa a an to AW Hawt nate Hey {aun smite aan of wocta and polit concider aay een 16. you inh, provide adaanal comimunte ant yee susan welievainuanty tyonr eat lia " Positive andl negative ngpnets) +64 Have you received a eoitiicato, diploma or docaumant that daweribos. and yall i copa aoquited during your European Solidarity Gorps actly (.a Youthyaas, Purepansy? W Vos No 65 Myou aspects) ish, ploaso givo additional commonts about this (your can highlight hoth positive and weqative 7 Future Prospects of Education, Training and Work +71 Thanks to this European Solidarity Corps activity... 1 1 got clearer iden about my fate edatonal ah I tot etearer idea about my prolesslona asplrations a goals 1 hy jb chances have increased G1 1am more ready to pursue further education or training (lon, ronal, vocational), *7.2 Are you planning to take part in furthor Europoan Solidatity Corps activities? ‘® Yes © Wo 8 General Comments and Recommendations mnonts or recomimiondations that may 8.1 If you wish, provide any additional information, observations bbe useful for future projects as wall as to the National Agency or the European Commission, "Scanned with CamScanner9 Publication and Usage Rights of the Information and of the Email *9.1 1am willing to help future participants based on my experience. They can contact me at my address, > Yes V No *9.2 | agree that (parts of) this survey can be published and made available to the general publi Yes, with my name and e-mail address Yes, but anonymised (no name and no e-mail address) ® No +9.3 lagree that my email address wil be used later to contact me for further studies related to the content ‘ofthis survey or regarding the European Solidarity Corps and EU issues. © Yes ¥ No Scanned with CamScanner 6