Application Form

Name and Surname:
Date of Birth:
Gender: Male Female
Emergency Contact Person (name and surname):
Phone Number of Emergency Contact Person:
Employed, Unemployed or Partly Employed:
ID No:
Passport No:
Address:
Post Code:
Tel. No.:
Mob No.:
Email:
Do you have any Learning or Physical Disabilities?: Yes No

Disabilities Details:
Do you have allergies? Yes No

Please Specify

WORK DETAILS OF CURRENT EMPLOYMENT (WHERE APPLICABLE)

Date of commencement

Organisation name

Date of Termination:

Job Title

Address

Tel.No.

Mob.No.

Email

WORK DETAILS OF PAST EMPLOYMEN(WHERE APPLICABLE)

Date of commencement

Organisation name

Date of Termination:

Job Title

Address

Tel.No.

Mob.No.

Email

SELECTION CRITERIA

(Applicants who are in possession of any 1 or more of the below criteria in addition to the 'Eligibility Criteria' will be given first preference. Applicants are to provide proof of such criteria including photocopy of certificate(s), CV, motivation letter) Please tick the box when selection criteria are applicable.

In possession of UK Nationality Yes No

Being aged 18+ Yes No

In possession of High School/Diploma/University Degree/Any Other Qualification Yes No

Being available for 2 months training followed by 3 months of unpaid work placement Yes No

OTHER INFORMATION

How do you hear about this project?
Have you ever been to one of the project destinations? If Yes, where?
Why do you think you deserve to participate in this project?
What are your expectations from this project?