Application form for Youth exchange Utopia

Application form for Youth exchange Utopia

Ommen, The Netherlands. / Advanced planning visit->24-27th May 2019 / Youth exchange 9 – 26 July, 2019 / Apply no later than 19.04.2019 at 23:59 h / call for participants: https://bit.ly/2KmjT4V
Name as in passport

First NameLast Name
Address

Street Address

CityState

Zip CodeCountry
Phone Number

Country CodePhone Number
Birthday

MonthDayYear
Date
I want to be:

Team leader (will have to participate on the APV from 24-27th May 2019)Participant (will have to participate on the Youth exchange from 9-26.07.2019)
Are you active member of Youth Can?

YesNo
Email:
Link of Facebook profile
What is the reason you want to participate in this exchange?
What expectations do you have?
What kind of work experience do you have?
What kind of education do you have/are you in?
What kind of work would you like to do?
What is your political preference? (e.g. right, left, center, progressive, conservative, etc.)
How does your Utopia look like? What is your ideal world?
Do you see yourself as a leader or as a follower? If so, why you think this?
Do you see yourself as someone who is easy going in making decisions?
Can you go along easily with other opinions, thoughts, believes, etc.? Or you are more like, my way or not at all?!
Level of English (bad, medium, good, excellent)
Do you have any special needs? Like medicines or dietary requirements (allergy, food allergy, vegetarian, etc.)
Contact person in case of emergencies (name and phone number)
Other remarks or questions?
Should be Empty: