Eurepejskie Centrum Solidarności

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Newsletter ECS

Gdansk Station 2010

REGISTRATION FORM

Remember that all fields must be completed.

Personal Information:


First (Given) name

 

Last (Family) name:

 
Date of birth (Day, Month, Year):

Sex:

 
Nationality:
 

E-mail address:

 

ID/Passport number:

 

Father's full name:

 

Address:

 

Telephone number:

 

Additional Questions:


Work experience:

 

University/School:

 

Awards and scholarships:

 

Activity in NGO’s, youth organisations or political parties(positions held):

 

English skills:

 

Other language skills:

 

Training, foreign internships and conferences:

 

Why would you like to participate in the project ‘Gdansk Station’?:

 

Where did you learn about the ‘Gdansk Station’?:

 

Have you ever participated in other projects organised by the European Solidarity Centre? If yes, please state.:

 

Dietary requirements:

 
 

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