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* 1. Name

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* 2. Surname

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* 3. Date of birth (day/month/year)

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* 4. Gender

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* 5. Country

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* 6. Address

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* 7. Obligatory contact information

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* 8. Current occupation

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* 9. Represented organisation

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* 10. Reference person

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* 11. Contacts of the reference person

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* 12. How did you first learn about this call for participants to the Peace Work Institute?

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* 13. Current involvement with and experience in your organisation

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* 14. Availability and commitment with Roots Peace Work Institute scheme (dates and places are tentative depending on the development of the corona pandemic)

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* 15. English is the working language of the Peace Work Institute: how do you rate your proficiency in it? (1 minimum - 5 maximum)

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* 16. Your personal motivation statement for getting involved in peace work

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* 17. Peace Work Institute is a collaborative learning process. Please let us know what knowledge and skills you have that you would like to share.

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* 18. What do you know about the Roots for Peace? Please visit our webpage at roots.ymcaeurope.com for more information.

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* 19. The overall cost per participant of the Peace Work Institute Scheme is 2'500 EUR. How much would you be able to contribute to it?

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