Training Venue: Hotel Trakošćan ( Trakošćan, Croatia

“CH-Q training” Trakošćan, Croatia, September 03-07 Application form

Training venue: Hotel Trakošćan**** (www.hotel-trakoscan.hr), Trakošćan, Croatia

Organizer: Euroguidance Croatia

Training provider: Euroguidance Netherlands

Please fill this form in English and send it to your National Euroguidance centre as specified in the Call for Applications by 13 July 2012.

Personal information

Name, surname

Title/position

Address

Tel. / mobile phone number:

E-mail address

Institution information / Employer

Name and address of your institution

Address of the institution

Fax and phone number

Information about the employment

Employer category : □ Advice and guidance organisation □ Labour office □ Public administration

1 □ School □ Trade union □ Non-governmental organisation □ Private guidance institution □ Other (provide the category):

Web page :

Information about the applicant

Your educational background Do you have professional diploma from the relevant field (teaching, education studies, psychology, pedagogy, sociology, professional advice, adult education, etc.) or please demonstrate that you dispose of a similar level?

Your knowledge of the English language

Your working experience in the field of guidance and counselling or/and training

What main functions and tasks do you have in your work? Do you work in the field of guidance of adults, students, young people, pupils, unemployed persons, disadvantaged groups, or other?

Motivation

What is your motivation for participating in the CH-Q training?

2 Please describe how you intend to implement the skills and outcomes of this training in your professional work.

What are your expectations about the CH-Q training?

Your preliminary interest to become coach in the method Provisionally YES CH-Q * Provisionally NO

*in case, there will be follow-up training in future years

General requirements – What is expected from the applicant?

Before the training participants are expected to do some homework - following the instructions in the documents the trainers will provide you with. During the training we expect an active contribution. After the training (which ends with a presentation of all participants) you are expected to develop your own portfolio.

I, the undersigned, acknowledge that I have read this form and I understand its contents and confirm all the information I provided herein.

Signed:

Applicant

______

In______, on ______