1. Basic personal datas

 
Welcome to the application form of Changemaker - self-coaching for youth workers and young social activists, phase 2.

We keep your personal data private, it will not be shared with a third party in any case.
Please note that the selection is based on the last page of the application form!

If you have any question or you need clarification, contact us on changemaker.egyesek@gmail.com.


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* Name

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* Mother's Maiden name

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* Place of birth

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* Date of birth

Date

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* Residency in your country
(Your legal address)

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* Postal address

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* Mobile phone number

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* E-mail address

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* Skype name

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* Which languages do you speak?

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* What is your level?

  Don't speak I understand very little I understand but do not speak I speak fluently Mother tongue
English
German
French
Russian
Hungarian

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