ECUMENICAL NETWORK FOR YOUTH ACTION

PROGRAMMES 2004
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ECUMENICAL NETWORK FOR YOUTH ACTION - PROGRAMMES 2000
U NÁS 9
aaaaaa CZ - 147 00aPRAGUE 4aaaaaaCZECH REPUBLIC
FAX NUMBER:
a420 241727390aaaE-mail: applications@ecumenical.org


SEMINAR YOU ARE APPLYING FOR:
If you are applying for more than one event, please fill in a form for each event.
Only completed forms (with the full financial details) will be considered.

.YOUNG WOMEN'S ECUMENICAL LEADERSHIP TRAINING SEMINAR February 1 - March 31
ONLINE

COMMUNITY CENTRES AND CENTERING COMMUNITIES
March 18 - 24 Markovice, Slovak Republic

. FREE TO BE II - ROMA CHILDREN DISCOVERING SAFE PLACES March 18 - 24 Markovice,Slovak Republic

LEU - JUSTICE and PEACE: Women in a Uniting Divided Europe April 1 -May 31 ONLINE

LROMA CROSS COMMUNITY YOUTH LEADERSHIP SEMINAR
May 18 - 28
Obajjar, Gozo, Malta

. ECUMENICAL YOUTH ASSEMBLY -
. "ECUMENICAL VISIONS - ECUMENICAL SPACES"
July 8 - 16
Prague, Czech Republic

. LIGHTHOUSE YOUTH HOME - WORK/STUDCAMP
August 10 - 20
Kunratice, Czech Republic

. FINANCES and WOMEN’S PROJECT MANAGEMENT September 4 - 10 Sofia, Bulgaria

. COMBAT SEXUAL EXPLOITATION OF CHILDREN and YOUTH (CSECY) September 14 - 20 Prague, Czech Republic

. WAR, TERRORISM, WOMEN and RELIGION September 25 - 30 Porto, Portugal


CONTACT DETAILS:

First Name and Last Name
Female:
Male:
Street Address:
Country Code
Postal Code
Town / City
Country

Home Tel.: Country Code / City Code / number Work Tel.: / Country Code / City Code / number
Fax: Country Code / City Code / number
Mobile Tel: / Country Code / City Code / number
E-mail address:
Website address:
Age:
Date of Birth: Month / Day / Year


DO YOU REQUIRE A VISA:

YES

NO
IF YES PLEASE TRY TO SEND YOUR APPLICATION AT LEAST 3 MONTHS
IN ADVANCE OF THE EVENT TO ENSURE THAT WE CAN SECURE YOUR VISA.
Country of passport:
Passport Number:
Date of Issue:
Date of Expiry:


CHURCH / FAITH COMMUNITY MEMBERSHIPS and /or PROJECT INVOLVEMENT:
Church or Faith Community Affiliation / Membership:
NGO Membership or Diaconal Project:
What is your involvement in your Church or organisation (experience, position and responsibilities)?:




LANGUAGE SKILLS IN ORDER OF COMPETENCY:

1.
2.
3.
4.

Fluent
Conversational
A Little


PREVIOUS ECUMENICAL/INTERNATIONAL EXPERIENCE:
YES
NO

1.
2.
3.
4.
NAME OF EVENT AND THEME
Organiser
Country
Date (Month and Year)


EMPLOYMENT AND STUDYING

Employed:
Yes No Occupation:

Student:
Yes No Subject Area / Faculty:

Unemployed:
Yes No No of years:



GENERAL INFORMATION QUESTIONS: (Answer all questions):
We would like to be able to include in the programme your interests and concerns.

1. Write a short autobiography including your education, employment, training, volunteering, Church / Faith community work and social project involvements.
2. Why are you interested in participating in this programme course?
3. How would you describe yourself? What are your hobbies and interests?
4. What abilities, special knowledge/experiences, or workshops could you share?
5. Please list any proposals that you might have for the programme?
6. Any other comments or special needs? (Vegetarian?, Access needs?, Health needs?)



FINANCES:
PARTICIPATION FEE: ENYA SCHOLARSHIPS are available up to 80% of the total costs. See Brochure or Programmes 2003 for details.
Yes No
I and/or my organisation will cover the full participation fee of:
EURO
Yes No
I would like to apply for a Scholarship towards the participation fee.

I can contribute:
(-) EURO
My organisation can contribute:
(-) EURO
PARTICIPATION SCHOLARSHIP REQUESTED :
(=) EURO

TRAVEL and VISA COSTS: ENYA SCHOLARSHIPS are available up to 80% of the total costs.
Yes No
I and/or my organisation will to cover my travel costs.
Yes No
I would like to apply for a Scholarship towards my travel costs.


TRAVEL COSTS: EURO
VISA COSTS: EURO
I can contribute:
(-) EURO
My organisation can contribute:
(-) EURO
TRAVEL SCHOLARSHIP REQUESTED :
(=) EURO
Participants are expected to travel by the cheapest form of travel.
You are responsible for ensuring that you obtain health insurance for the duration of your stay.



Date:

Name:



THANKS FOR YOUR INTEREST IN THE ENYA PROGRAMMES.



Page updated on:
Sunday, December 28, 2003