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* 1. Name

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* 2. Surname (Family Name)

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* 3. Date of birth

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* 4. Gender

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* 5. Obligatory contact information

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* 6. Optional contact information

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* 7. Country

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* 8. Represented organisation

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* 9. Current occupation

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* 10. Current involvement with and experience in your organisation

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* 11. How did you first learn about this call for participants?

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* 12. 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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* 13. Your personal motivation statement for getting involved in this project

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* 14. How can you contribute to the implementation of this project?

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* 15. How do you plan to use in the future what you learn during this study session?

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* 16. Please let us know if you are really good at know-how, which may have an added value in securing the success of the overall Peace Work Institute scheme?

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* 17. Reference person

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

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* 19. YMCA Europe is not using or transferring your personal data for any purpose. All the date will stay stored safe in this form. If you want us to save your email address in our MailChimp account and add it to our newsletter list, click on the YES box below. You can unsubscribe any time, at your convenience. If you do not want to receive our newsletter, click on NO. Thank you! 

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