Youth Peace Ambassadors Network
Application form for
Partnership Building Seminar
Connecting Bridges
Intercultural Dialogue and Conflict Transformation
16-21 September 2014
Slavsko, Ukraine
Please send an application form till
25th of August
on e-mail address
yuliya.ielfimova.cei@gmail.com
Participant Countries:
Armenia, Azerbaijan, Belarus, Czech Republic, Georgia, Greece, Hungary, Lithuania, Poland, Spain, Turkey,
Ukraine
Youth Peace Ambassadors Network
Application form
16-21 September 2014
Surname
First Name
City, Country
Date of Birth
Gender
Your current address
Mobile
e-mail
Name of The Organization
Your Position in the organization
Web page of the organization
Contact person from your organization,
position of contact person and contact
info (mail or phone)
Date of arrival in Ukraine
Date of Departure from Ukraine
Do you have any medical or other
dietary special needs? (if yes please
provide an information)
Please provide brief information about
your experience in youth work/NGO
work?
Youth Peace Ambassadors Network
Explain your main motivation to
participate in the project “Connecting
Bridges”?
Please describe your previous
experience related intercultural
dialogue?
Please describe your previous
experience related to conflict
transformation?
What are your expectations from the
project “Connecting Bridges”?
What do you think how can your
organization and you contribute in the
project “Connecting Bridges”?
Youth Peace Ambassadors Network
Would you like to share/present
something during the project? (if yes
please explain)
Please don’t forget to send an application form till
25th of August
on e-mail address:
yuliya.ielfimova.cei@gmail.com
Thank You!