APPLICATION FORM SEEDS FOR SUSTAINABLE DEVELOPMENT Job shadowing 15/25 October 2016. Novi Sad, Serbia

First Name: Surname: Adress (street, no, place): Country of residence (citizenship): Gender: male / female Date of birth (dd/mm/yyyy): Phone: E-mail: (this e-mail we will use for contacting you!) Facebook Do you need visa for Serbia: Special needs (e.g. dietary requirements, allergies...): Contact person in case of emergency (name and phone): Mark your sending organization: Mark with X Ritam zdravlja (Serbia) and Environment Engineering Group (Serbia) Voluntary Center Skoplje (Macedonia) Youth center Kosmos (Bosnia and Herzegovina), Experimentáculo Associação Cultural (Portugal) Association Argonauta (Croatia), Asociatia GEYC (Romania)

Working language will be English, please tell us your language abilities: Language/Level fluent good medium basic English Second Language: ______Third language: ______

Describe your experience in youth work in a few words (what kind of young people you are working with or have worked with, methodological approaches used and practical activities organised).

If you have any international youth work experience can you please describe it.

What is your motivation for attending this programme?

FB: Inženjeri zaštite životne sredine - Environment Engineering Group

What do you expect from this programme?

How you plan to ‘multiply’ this training experience, i.e., organise programme or programmes in response to your participation in the training? What do you think you can or will do with it? What kind of support might you need to help make things happen on your return?

Anything else you would like to add in support of your application?

Travel arangment I will come by (plane, train, bus...) Arriving place in Belgrade Arriving time to Belgrade Departing place from Belgrade Departing time from Belgrade From Belgrade to Novi Sad and back participants will use bus transfers starting from Belgrade main bus station www.bas.rs. FInal destination is bus station Novi Sad.

DISCLAIMER & AGREEMENT By agreeing to participate on the project I confirm that I will be responsible for my own behaviour and will do my upmost to ensure that I am participating and engaged fully in the whole programme. I agree that the information in this application is correct and sincere and that I will inform the course organisers of any change in my application/participation immediately.

FULL NAME: DATE: SIGNATURE

All applications need to be returned to [email protected] by 30 September 2016.

FB: Inženjeri zaštite životne sredine - Environment Engineering Group