Mid-term training
25-27 February 2021
Register here

First name*

Surname*

Date of birth*

Gender
MaleFemaleOther

Kind of activity *
VolunteeringTraineeshipJob

What's your project number? *

e.g. 2019-1-BE05-ESC11-001111
If you don't know, contact your organisation.

Name of your host organisation in Belgium *

E-mail of the coordinator of your volunteering activity/traineeship/job *

Please add the phone number of your organisation or of the person responsible for your project in your host organisation *

Start date of your volunteering activity/traineeship/job *

End date of your volunteering activity/traineeship/job *

Nationality *

Your cellphone number. Please don't forget to add your national prexif. For example for a Belgian number = +32.*

Your e-mail address *

If you are currently living in Belgium, what is your home address?

What do you expect to learn at this training?

Do you have any access needs (no laptop, lack of internet, etc.)?

Who is your emergency contact (name + telephone number)?

Is there anything we can do or need to put in place in order to make sure you can fully participate to the training?

Is there anything you would like us to know?

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