Application for “Democracy under Construction” (DuC)

August 27th – September 3rd 2014, Gdansk (Poland)

PERSONAL INFORMATION

Name: *

Surname: *

Date of Birth: *

Sex: *

Male

Female

Adress:

Nationality: *

Mobile:

Email: *

EDUCATION

Name of school / university / organization you currently attend:

Currently studied subjects:

University degree:

EXPERIENCE

Have you ever participated in international projects?:

Please explain your motivation to take part in this project.: *

Please describe your special interests/skills/knowledge.: *

LANGUAGE SKILLS EXPERIENCE

Please mark the level of your English skills: *

B1 intermediate

B2 upper intermediate

C1 advanced

C2 proficiency

Other language skills:

MOTIVATION & EXPECTATION

What do you expect to gain from this project?: *

What does ‘democracy’ mean to you?: *

ADDITIONAL DETAILS

Do you have any special needs or requirements that we should know about (e.g. medical needs, allergies, dietary restrictions, etc.)? :

Please take note of the following conditions that will apply if you are selected to take part in the project.

I commit myself to take part in the entire project: from start to end;
I am aware that obtaining a health and full travel insurance are my own responsibility and their costs shall be covered by myself.
I agree to pay the participation fee till the 30th of June 2014
- 75 Euro for participants from Germany
- 230 PLN or 55 EUR for participants from Poland and the Czech Republic

I agree

I disagree

We will inform you about the payment details after the recruiting process has been completed.

Thank you very much for applying for “Democracy under Construction” (August 27th – September 3rd 2014, Gdansk, Poland) – an interactive historical and political project from a Czech-German-Polish perspective. We will inform you via e-mail, when the recruiting process has been completed in June 2014. Then you will also get the final agenda, organizational details and other important information. In case of any questions please contact us!

Magdalena Zatylna (email: duc@dpjw.org; phone: +49 331 284 79 40);
Natalja Salje (email: duc@pnwm.org; phone: +48 22 518 89 11)

Best regards
Magdalena Zatylna & Natalja Salje (project coordinators)

Sprachen

DPJW Formulare / formularze PNWM

Application for “Democracy under Construction” (DuC)