Application Form for EVS project

Application Form for EVS project

Please use English or Polish language to fill in.

Project’s identification

Number of the EI	2013-PL-140
Name of the EI	Centre for Youth Co-operation and Mobility

Personal Information

What is your highest diploma?
Do you work, study… (specify, please)? If you study when will you graduate?
Did you follow courses next to school? (if yes, please specify)

Do you smoke?
Are you a vegetarian?
Do you have allergies?
If yes, please specify:
Any special medical or dietary needs?
If yes, please specify:
Any other useful information?

On additional sheet of paper please give extensive answers for following questions
(max: 3pages):

What is your motivation to do the European Voluntary Service project (EVS)?
Why did you choose exactly this project?
What do you expect to gain from the project during the stay in Poland? How would you like to use gained knowledge/skills/experience after your EVS?
What will be your contribution to the project?
What are your hobbies? What do you do in your free time?
Please describe yourself as a person (your characteristic features).
Do you have previous international or intercultural experiences?
Did you participate in Study Visits to Gdynia or Study Tours to Poland? Please put the date.
Do you have experience in youth work? If yes, please specify.
Do you have experience in being a volunteer in your country or abroad? If yes, please specify.
Please describe your computer skills level.
Please describe your social background (family, place of living, etc. ).
Are you ready to share the house with 11 people from different countries and the room with 1-2 other volunteers?
Are you ready to start EVS in July 2016 and stay 12 months

Sending organisation

Name (both in English and native language)
Name (both in English and native language)
EI number
Address		Number
Postal Code		Town
Country		Phone
Fax		e-mail
Contact Person in charge of EVS
Name		Phone
Fax		e-mail