International Development Exchange Program

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International Youth Development Exchange Program
for 2015 in Latvia (05.-22.09.2015) and Japan (22.09-07.10.2015)
APPLICATION FORM
This application form should be delivered to [email protected] by June 1st 2015, no later than 13:00
(Latvian time)
Feel free to use as much space as you need.
1.Personal details
Name:
Surname:
Gender:
Date of birth:
Current
address:
Mobile
phone:
E-mail:
Facebook
name:
Education:
Current
occupation(s):
I am able to participate in the interview on July 7-9, 2015:
Yes
No
Comments
2. More information about you
Please describe yourself. What makes you special as a person?
What is your experience of being an active citizen in your community/country? Please describe. Please mention
also if you are a member of some youth organization.
As one of the sub-topics for the exchange will be “Youth for Society”, please describe shortly what are your
achievements so far in this regard? How have you contributed to development of local society?
1
What ideas do you have on how you could contribute to the exchange programme with Japan? What
experience and skills could you share?
3. Motivation for participating in the exchange program in Japan (22.09.-07.10.2015)
Have you had any previous connection or experience cooperating with Japan or Japanese people? Please
describe and mention also if you have been there.
What is your motivation to participate in this exchange program? What do you expect from it?
How will you use the experience from participation in this exchange?
How could you share the ideas, experience and competencies gained during the exchange with local society in
Latvia (please mention concrete activities, target groups, locations etc.)?
4. Support for organizing the visit of Japanese youth in Latvia (05.-22.09.2015)
What would you recommend to include in the programme for the visit of the delegation of Japanese youth in
Latvia for them to discover our country better?
Are you available for supporting us in organizing the programme for hosting Japanese youth in Latvia: 5-22
September 2015?
Yes
No
Comments
How would you contribute to organizing the visit of delegation from Japan in Latvia? Please, mention at least 3
concrete things/activities that you personally would be willing and able to organize/be involved in.
5. Other information
Please rate your foreign language skills:
English
Japanese
Excellent
Excellent
Good
Good
Average
Average
Poor
Poor
No skills
No skills
Other:__________
Excellent
Good
Average
Poor
No skills
Other:__________
Excellent
Good
Average
Poor
No skills
Do you have any special needs (dietary, mobility, special medicine etc.)?
I am applying for participation in the International Youth Development Exchange Program for
2015 and I confirm that in case I am selected I will participate in all planned events and activities
within the exchange program both in Japan and will be available for some events in Latvia.
Name, surname
Date, place
2
ESSAY
„Ideas and experience that I could bring back from Japan and share with my
community”
Max. 750 words
Name, surname:
3
CV in English
4
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