"Here & Now" Application Form

HERE & NOW TRAINING COURSE - 25th of July – 1st of August 2018 - IZVOARE, MARAMUREȘ - ROMANIA, 2017-3-RO01-KA105-047064

* 1. Country and Name of partner organization

* 2. Details of the participant

* 3. Full address

* 4. Nationality

* 5. Date of birth

Date / Time

* 6. Contact

* 7. Health

* 8. Personal motivation

* 9. Personal learning outcomes

* 10. By submitting this application form I, the undersigned, confirm that I have read and understood the Information Letter and the conditions of reimbursement about the "Here & Now" Training course and I know and accept the conditions of participation.

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