Richter/U-GO/CSR Training Information – Madeira, 2011
Local and International Volunteering:
A Measure of Quality Youth Work
Madeira, Portugal
18 to 24 September, 2011
A European training with the support of the EU Youth in Action Programme.
Organised by Crescer Sem Risco (Portugal)
in partnership with The Richter Foundation (The Netherlands) and U-GO (Scotland).
APPLICATION FORM
PERSONAL INFORMATION
Full name of applicant
Nationality
Date of birth
Sex
Private address
Postal code
Phone number
Fax number
E-mail
Skills in spoken English
Dietary requirements (e.g. vegetarian)
Any special needs
NEXT OF KIN (IN CASE OF EMERGENCY)
Name
Address
Postal code
Phone
E-mail
YOUR ORGANISATION
Name of the organisation
Address
Postal code
Phone number
Fax number
E-mail
Your position/job in the organisation
Aims of the organisation
Projects of the organisation in 2010
Fluent
Good
Basic
Richter/U-GO/CSR Training Information – Madeira, 2011
THE PROJECT
Have you participated in similar projects?
If yes, when and where?
What will you contribute to this project?
What are your expectations from the training?
How will you and your organization benefit if
you attend this training?
TRAVELLING TO MADEIRA
Means of transport (underline)
Estimated price in euro (please find the
cheapest means of transport)
Expected arrival time
Expected departure time
DETAILS FOR VISA REQUIREMENTS
Surname
Name
Date of birth
Sex
Nationality
Place and region of birth
Place and region where you live
Passport number
Date of issue
Date of expiry
Name of your organization
Address of your organisation
Bus
Train
Plane
:
Signature of applicant
Date
Place
Please send this form with a completed Part III before Wednesday 12 January 2011 to:
Helena Marote
Crescer Sem Risco
helena@crescersemrisco.com
Only fully completed application forms will be accepted.