Enrollment form to event
«On-Arrival Training (OAT) ONLINE, June 2024 edition»

Identification data

A. First Name *)

B. Last Name *)

C. Email *)

D. Phone

E. Country *)

Enrollment form

IMPORTANT!

IMPORTANT NOTICE: All lines! When finished, click on the "Save Form" button.
Mid Term Meeting (MTE) is dedicated to volunteers, trainees and employees involved in activities longer than 6 months in Romania

1. Name and Surname of volunteer/trainee/employee *)

2. Gender of the volunteer *)

3. Email address of the volunteer/trainee/employee *)

4. Phone number of the volunteer/trainee/employee

please insert a phone number to contact you for difficulties, make sure relevant country codes are included.

5. Country of origin of the volunteer/trainee/employee *)

6. Reference number of the ESC/EVS project the volunteer is involved in (ex. 2016-X-XX01-KA105-xxxxxx) *)

7. Title of the ESC/E+ project the volunteer/trainee/employee is involved in *)

8. Name of the sending organization *)

9. Country of the sending organization *)

10. Name of the hosting (receiving) organization *)

11. Name and surname of project responsible/coordinator *)

12. Project Responsible Email Address *)

13. Period of the volunteer activity starts at: *)

14. Period of the volunteer activity ends at: *)

15. What are your expectations regarding this seminar? *)

16. Level of English language *)

Please evaluate your level of English language on a scale from 1= very poor to 5=very good for each of the items

	1	2	3	4	5
a. Reading
b. Writing
c. Listening/Understanding
d. Talking/Conversation

17. Special needs for online participation *)

18. Technical requirements for the course. *)

Please select all applicable statements

19. I agree with the provisions regarding GDPR. *)

In order to ensure transparency for the funds used from the European Union budget, participation in this meeting is conditioned by:
- Your commitment to take part in the entire event with the exception of cases of force majeure.
- Your agreement to be recorded /filmed and photographed during the event and your agreement that these materials are published with the aim of promotion and dissemination of results without affecting the personal and institutional image (excepted are those that expresses their particular objection in the application form)
- Your agreement to be contacted via email or phone by the organisers of the event and by possible auditors.
- Your agreement to have your name published on the page of the event at the finalisation of the selection process.

I agree that, if I will be selected for participation, I fully understand and I assume the obligation of my active and constant participation during the entire session. Also, I am fully responsible for any damage that I may cause during lodging and I know that in case of incident(s)/damage(s) caused, the hosting/coordinating organisation has the full right to request me for financial reimbursement!

Moreover, in accordance with the content of the "EVS Charter" provisions and "ERASMUS+ EVS Volunteering agreement", document that I declare to read and sign before my enrollment, I am aware of the fact that the receiving organisation is also contractually responsible toward the hosting National Agency for any consequences generated by my behavior during the participation of the EVS session!