Please fill in the following details as your application, which we will forward to your selectedhosting organisation,that will do the selection.

Melange is Vienna’s Programme of European Solidarity Corpsvolunteering projects. It is co-ordinated and implemented by Grenzenlos in close co-operation with wienXtra. The programme is funded by the City of Vienna and the European Commission.

Grenzenlos is the coordinating organization and responsible for all technical, logistical and administrative matters around the project but not hosting itself.

Please fill in the following details as your application, which we will forward to your selectedhosting organisation, that will do the selection.

We will inform you as soon as we have received the decision.

Supporting organisation details (Please be aware that we can only apply for the project together with your supporting organisation)

Name:		OID:
Address:
Phone:
E-mail:
Contact person:

Curriculum Vitae

Contact Information

Surname(s):			(Photo)
First name(s):
Address:
Postcode & city:
Country:
Phone:
Email:

Personal information

Gender:		Nationality:
Date of birth:		Place of birth:
PRN (your registration number at the online portal):

Passport number:

Person to contact in case of emergency (Name, Address, Telephone and E-mail)

Declaration ‘I declare that the person mentioned as my emergency contact is informed about the status and agrees to share the contact details with the responsible in the coordinating and hosting organisation’

please tick here to show you understand and accept the above declaration.

Your current occupation

Please describe your previous work and/or volunteer experiences (local and international)?

Do you have any former international experiences (other stays abroad, exchanges etc. )? Please describe

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