* Required

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* 1. Surname (Last Name, Family Name)
e.g. Smith, Kowalski...

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* 2. First Name
e.g. Jane, Maria, Susanna, John, Michael...

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* 3. Email address
Please make sure you write your email address correctly

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* 4. Country where you teach

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* 5. City where you teach

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* 6. Name of your school

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* 7. Postal address of your school
Please write the full postal address of your school. For example:
European Schoolnet, Rue de Treves 61, 1040, Brussels, Belgium

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* 8. Subjects you teach

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* 9. Age of students you are teaching during the 2018-2019 school year
Select all the relevant ages!

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* 10. Please detail below your experience with producing learning resources for students and link to any material produced where possible.

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* 11. Please detail below your experience with authoring/content creation and use of digital tools. Please supplement with links to your work.

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* 12. Why would you like to become a 3Rs Pilot Teacher?

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* 13. Please explain briefly: 1) your interest in laboratory animal experimentation, 2) sustainable/sound science and 3) what kind of skills and experience you wish to acquire during your involvement in the 3R project.

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* 14. Please demonstrate your interest in learning and sharing experiences and good practices, including any previous positive experience and lessons you have acquired by your involvement in other European projects.

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* 15. Please select below which dates suit you for the first 3Rs workshop at EUN (being available for 2 or more dates will increase your chances of being selected).

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* 16. Does your principle/head of school support your involvement in the RRR project?

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* 17. Terms and conditions

  Yes No
If selected, I will be able to attend the 1st workshop taking place in one of the dates displayed on question 15.
If selected, I will be able to attend the face-to-face workshops on 13th - 14th September in Brussels.
I have written my name and surname fully and correctly
I understand European Schoolnet will not enter into any discussion regarding the results of the selection
I understand that to process my application, collection and storage of personal data (name, surname, email address) is necessary. Access to this information is strictly limited to EUN Partnership AISBL and will only be used for this specific purpose.

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