Type of participation: *
Participant
NA staff
First name: *
Last name: *
Upload your photo: *
Country: *
Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia & Herzegovina Botswana Brazil British Indian Ocean Ter Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China Christmas Island Cocos Island Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Ter Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guyana Haiti Hawaii Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malaysia Malawi Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Midway Islands Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Nambia Nauru Nepal Netherland Antilles Netherlands (Holland, Europe) Nevis New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Oman Pakistan Palau Island Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Republic of Montenegro Republic of Serbia Reunion Romania Russia Rwanda St Barthelemy St Eustatius St Helena St Kitts-Nevis St Lucia St Maarten St Pierre & Miquelon St Vincent & Grenadines Saipan Samoa Samoa American San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Tahiti Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Is Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands (Brit) Virgin Islands (USA) Wake Island Wallis & Futana Is Yemen Zaire Zambia Zimbabwe
E-mail: *
Telephone: *
Special dietary requirements:
Other special requirements:
Knowledge of English language (Common European Framework of Reference for Languages - Self-assessment grid): *
A1
A2
B1
B2
C1
C2
None
Name of the organization: *
Address of the organization: *
City / Town of the organization: *
Country of the organization: *
Website of the organization:
Please describe briefly the scope of interest of your home organisation, its strategic goals, target groups, type of organisation, size, etc. *
Which group of people with fewer opportunities would you like to focus on at the seminar? (max. 2 answers): *
Educational difficulties: early school-leavers; low qualified adults
Economic obstacles: people with a low standard of living, low income, dependence on social welfare system; people in debt or with financial problems
Cultural differences: immigrants, refugees or descendants from immigrant or refugee families; people belonging to a national or ethnic minority; people with linguistic adaptation and cultural inclusion difficulties
Social obstacles: (ex-)offenders
Please describe briefly the selected group(s); what kind of obstacles do they face; how do you work with them; what kind of activities have you already implemented? *
Your position at the organization: *
What are your needs in dealing with your target group(s) that could be addressed in the Erasmus+ programme? *
What kind of knowledge and experience can you share regarding your work with the identified target group(s)? *
Are you interested in attending dinner outside of hotel on Thursday, June 1st? *
Yes
No
Are you interested in joining the walking night tour "The Upper Town Witches" after dinner on June 1st? *
Expected date and time of the arrival at the hotel: *
Expected time of the departure from the hotel: *