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ECUMENICAL NETWORK FOR YOUTH ACTION
 
PROGRAMMES 2004
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ECUMENICAL NETWORK FOR YOUTH ACTION - PROGRAMMES 2000
U NÁS 9aaaaaa CZ - 147 00aPRAGUE 4aaaaaaCZECH REPUBLIC
FAX NUMBER: a420 241727390aaaE-mail: applications@ecumenical.org
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SEMINAR YOU ARE APPLYING FOR:
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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.
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.YOUNG WOMEN'S ECUMENICAL LEADERSHIP TRAINING SEMINAR |
February 1 - March 31
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ONLINE |
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COMMUNITY CENTRES AND CENTERING COMMUNITIES
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March 18 - 24 |
Markovice, Slovak Republic |
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. FREE TO BE II - ROMA CHILDREN DISCOVERING SAFE PLACES |
March 18 - 24 |
Markovice,Slovak Republic |
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LEU - JUSTICE and PEACE: Women in a Uniting Divided Europe |
April 1 -May 31 |
ONLINE |
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LROMA CROSS COMMUNITY YOUTH LEADERSHIP SEMINAR
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May 18 - 28 |
Obajjar, Gozo, Malta
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. ECUMENICAL YOUTH ASSEMBLY -
. "ECUMENICAL VISIONS - ECUMENICAL SPACES"
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July 8 - 16 |
Prague, Czech Republic
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. LIGHTHOUSE YOUTH HOME - WORK/STUDCAMP
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August 10 - 20 |
Kunratice, Czech Republic
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. FINANCES and WOMENS PROJECT MANAGEMENT |
September 4 - 10 |
Sofia, Bulgaria |
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. COMBAT SEXUAL EXPLOITATION OF CHILDREN and YOUTH (CSECY) |
September 14 - 20 |
Prague, Czech Republic |
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. WAR, TERRORISM, WOMEN and RELIGION |
September 25 - 30 |
Porto, Portugal |
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CONTACT DETAILS: |
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First Name and Last Name
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Street Address:
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DO YOU REQUIRE A VISA:
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YES
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NO |
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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.
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Country of passport:
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Passport Number:
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Date of Issue:
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Date of Expiry:
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CHURCH / FAITH COMMUNITY MEMBERSHIPS and /or PROJECT INVOLVEMENT: |
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Church or Faith Community Affiliation / Membership:
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NGO Membership or Diaconal Project:
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| What is your involvement in your Church or organisation (experience, position and responsibilities)?: |
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LANGUAGE SKILLS IN ORDER OF COMPETENCY: |
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4.
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Fluent
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Conversational
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A Little
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PREVIOUS ECUMENICAL/INTERNATIONAL EXPERIENCE: |
YES
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NO
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1.
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2.
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3.
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4.
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| NAME OF EVENT AND THEME |
Organiser
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Country |
Date (Month and Year)
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EMPLOYMENT AND STUDYING |
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Employed:
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Yes No |
Occupation: |
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Student:
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Yes No |
Subject Area / Faculty: |
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Unemployed:
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Yes No |
No of years: |
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GENERAL INFORMATION QUESTIONS: (Answer all questions): |
| We would like to be able to include in the programme your interests and concerns. |
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| 1. Write a short autobiography including your education, employment, training, volunteering, Church / Faith community work and social project involvements. |
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| 2. Why are you interested in participating in this programme course? |
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| 3. How would you describe yourself? What are your hobbies and interests? |
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| 4. What abilities, special knowledge/experiences, or workshops could you share? |
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| 5. Please list any proposals that you might have for the programme? |
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| 6. Any other comments or special needs? (Vegetarian?, Access needs?, Health needs?) |
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FINANCES: |
| PARTICIPATION FEE: |
ENYA SCHOLARSHIPS are available up to 80% of the total costs. See Brochure or Programmes 2003 for details. |
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Yes No
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I and/or my organisation will cover the full participation fee of:
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EURO
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Yes No
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I would like to apply for a Scholarship towards the participation fee. |
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I can contribute:
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(-) EURO
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My organisation can contribute:
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(-) EURO
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PARTICIPATION SCHOLARSHIP REQUESTED :
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(=) EURO
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| TRAVEL and VISA COSTS: |
ENYA SCHOLARSHIPS are available up to 80% of the total costs. |
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Yes No
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I and/or my organisation will to cover my travel costs. |
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Yes No
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I would like to apply for a Scholarship towards my travel costs. |
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TRAVEL COSTS: EURO
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VISA COSTS: EURO
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I can contribute:
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(-) EURO
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My organisation can contribute:
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(-) EURO
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TRAVEL SCHOLARSHIP REQUESTED :
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(=) EURO
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| 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.
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Date:
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Name: |
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THANKS FOR YOUR INTEREST IN THE ENYA PROGRAMMES.
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