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DIPEPTIVEN FRESENIUS KABI AUSTRIA GMBH - Austrija, koncentrat za
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Silver BraceletsSeptember October 2013 Amman, JordanApplication
FormPersonal DataFull Name
GenderAge
Nationality City and Country of residence
Place and date of birthAn emergency number
MobileID number
E-mail Passport number
Address
Level of English
(Please mark with X) SpeakingReadingWriting
Very good Very good Very good
GoodGoodGood
BasicBasicBasic
Information about Your Background (you can extend the space for
your answers)
Do you have any volunteering experience?
Do you have any experience in working with Down syndrome
people?
Do you have any previous experience in EVS projects? If yes,
describe your previous experience and what did you get from it.
Information about Your Motivation, Expectation and Needs from
this EVS ProjectWhat is your main motivation to take part in this
project?
What are your main expectations in terms of learning from this
project?
Which will be your contribution in this project?
How will you use your previous experience in this project?
Practical issuesHow did you hear about this project?
Are you a special need's person? If yes, please describe.
Only completely filled applications will be accepted!!!Deadline
for sending the form is latest 8 April 2013 to
[email protected]
This project has been funded with support of Youth in Action
Program of European Union
