Please complete this form if you wish to register as a trainer with the European Confederation of Youth Clubs. For any questions contact ecyc@fcjmp.be. Thank you!

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* 1. Please state your full name (first name / last name )

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* 2. Gender

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* 3. Postal address

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* 4. Country of residence

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* 5. Primary phone number

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* 6. Primary email

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* 7. Small abstract about yourself (interests, main areas of expertise, anything you’d like to share)

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* 8. Working languages

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* 9. Current occupation

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* 10. Are you registered with any ECYC member organizations? if yes, please state which organization.

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* 11. Please provide details regarding any ECYC events attended - trainings or workshops, statutory meetings, projects etc.

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* 12. Are you a certified trainer? If yes, please provide details regarding your certification (year of training completion, the name of the training provider etc.)

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* 13. Please detail any previous or current education that is relevant to your trainer profile

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* 14. Please detail any previous or current work experience that is relevant to your trainer profile

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* 15. Can you give contact details (full name, organization, function, phone and email address) for two professional recommendations?

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* 16. Fields of training expertise:

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* 17. Working with specific target groups

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* 18. Please mention any relevant experience with specific geographical regions

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* 19. What trainings or qualifications are you yourself interested in at this stage of your training career?

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