GRU WOR Learner Application Form_09

8/12/2019 GRU WOR Learner Application Form_09

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GRUNDTVIGWORKSHOPS

Registration form and agreement WO-learner 06 0! 0"

##P GRU N$ 0" 060 $

LIFELONG LEARNING PROGRAMMEGRUNDTVIG WORKSHOPS

Learner application for

Please send this application form duly completed and signed to:

- the institution which organises the Workshop (Workshop organiser)

- the Grundtvig National Agency in your country

- the Grundtvig National Agency in the country where the Workshop will

take place

Addresses of National Agencies are availa!le on the following we! page:http:""ec europa eu"education"programmes"llp"national#en html

Dea!line for "en!in# t$e re#i"tration for %& '(%()%')(%

$f your candidature to this Workshop is accepted% the Workshop organiser

will return to you a signed copy of this form

I * I!entification of t$e Wor+"$op (to !e pre-filled !y the Workshoporganiser)

Title of t$e Wor+"$op Weaving with the material of the nature% traditions and future

Ho"t in"tit,tion &dense Aftenskole

Date" of t$e Wor+"$op ' " * '+" ',

o !e pre-filled !y the Workshop organiser
http://ec.europa.eu/education/programmes/llp/national_en.htmlhttp://ec.europa.eu/education/programmes/llp/national_en.html


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GRUNDTVIGWORKSHOPS


##P GRU N$ 0" 060 $

II * I!entification of t$e can!i!ate learner

II.1. Contact details

Title -M.M".Mr"/ Fir"t na e

Fa il0 na e

A!!re""

Po"tco!e 1it0

1o,ntr0

Telep$one % Telep$one '

Mo2ile Fa3

E* ail a!!re""

II.1. Other information

Date of 2irt$

Nationalit0

Occ,pation -if

applica2le/) If retire! .,ne plo0e!& 4$atfor er 5o2 !i! 0o, !o6

Special re7,ire ent"for tra8el" an!.or!,rin# t$e "ta0- o2ilit09 !ietar09

e!ical9 etc:/

E3perience 4it$ for erinternational acti8itie"

Moti8ation to participatein t$i" 4or+"$op

Lan#,a#e" "po+en

Lan#,a#e" ,n!er"too!

Ot$er infor ation 0o,4o,l! li+e to ention

'


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GRUNDTVIGWORKSHOPS


##P GRU N$ 0" 060 $

II.3 Other questions (to be customised by the Workshop Organiser if needed)

E3perience 4it$4ea8in# an!2a"+et a+in#

Kno4le!#e a2o,t4ea8in# tec$ni7,e" an!2a"+et a+in# tra!ition"in 0o,r co,ntr0

E3pectation" for 0o,ro,tco e of t$e4or+"$op

.


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GRUNDTVIGWORKSHOPS


##P GRU N$ 0" 060 $

1ANDIDATE LEARNER

$ confirm that $ understand and intend to o!ey to the following principles and rules:

he Workshop organiser will select candidates according to selection rules whichhave !een approved !y its /ifelong /earning " Grundtvig National Agencies heseinclude rules on the minimum num!er of learners from a varied num!er ofcountries0

' 1andidates may !e selected% re2ected or registered on a reserve list0

. he Workshop organiser may consult the selected learners to organise their tripsand accommodation0

3 4y signing the present document% the candidate learner commits himself " herselfto:

a) apply for only one Workshop throughout the 56 for the year ',,+-', ,!) if case of selection:

i not to apply to any other Workshop for the ne7t . yearsii attend the Workshop

iii comply with all arrangements negotiated for his"her participationand to do his"her !est to make the Workshop a success

iv fill in and sign a final evaluation form at the end of the Workshopc) in case of selection !ut non attendance: present evidence of force

ma2eure%d) in case of non attendance and no presentation of evidence of force

ma2eure% reim!urse the Workshop organiser of all costs incurred due tothis non-attendance

8ate: 999999999999999 ignature: 99999999999999999999999999

WORKSHOP ORGANISER

We confirm that the a!ove mentioned candidate has !een accepted to attend thefollowing Workshop and will do our !est to provide him"her with a successful e7perience%as descri!ed in our application form

$ /5: 99999999999999999999999999999999999999999999999999

8A 5 : 99999999999999999999999999999999999999999999999999

/&1A $&N: 99999999999999999999999999999999999 999999999999

8ate: 999999999999999 ignature : 9999999999999999999999999

And stamp of the organisation3

Documents

GRU WOR Learner Application Form_09