Letter of invitation en pdf
ECUMENICAL YOUTH COUNCIL IN EUROPE
“ Water, Air & Earth – Celebrating Nature, Improving the Future ”
15 th August – 22 nd August 2004
Durham, England, UK
APPLICATION FORM
1. APPLICANT’S PERSONAL DATA
Surname(s) ( as in passport ):
First names ( as in passport ):
Street address:
Postal code:
Town:
Country:
Please provide at least one fax number or one e-mail address where you can be reached for quick communications.
Telephone: Home : Office :
(country code / area code /number) Mobile:
Fax: Home : Office :
(country code / area code /number)
Email:
Gender (M/F):
Date and place of birth (day/month/year) :
Profession or Occupation ( if student, which field ):
Confession:
Name of the church in which you are a member:
Position in your church / youth organisation (if any):
PASSPORT
Nationality ( country issuing your passport) :
Passport number:
Date and place of issue:
Passport valid until:
LANGUAGES and special needs
Mother tongue:
Other languages spoken and understood and level of knowledge (1=poor ... 5= very good):
1.
2.
Do you wish translation into French? (Y/N):
Do you wish translation into Russian? (Y/N):
Are you a vegetarian? (Y/N):
If you are a vegetarian, please indicate clearly what kind of food you eat (e.g. eggs, Fish, Dairy products):
Do you have special medical or dietary needs?
2. MOTIVATION
a) What are your expectations towards this summer school?
b) What can you contribute to the success of this summer school?
c) Describe how your work will profit from your experience gained in this summer school?
d) In which context in your city, organisation, country, etc. do you see the misuse of nature? Explain why.
3. ENDORSEMENT OF YOUR EYCE MEMBER ORGANISATION
What is the reason for you to nominate the applicant to this study session?
Please indicate a price (in Euros) for the cheapest possible ticket to Durham, England, UK – in conjunction with the reimbursement policies mentioned in the letter of invitation.
____________€ (EUROS) (please indicate the return ticket price)
Is this quotation by: AIR/BUS Travel (please delete where necessary)
Date and Place:
Signature of the Applicant:
Signature of the National Correspondent:
PLEASE SEND THIS APPLICATION FORM TO:
Ecumenical Youth Council in Europe
Rue du Champ de Mars 5
B-1050 Brussels
BELGIUM
E-mail: general.secretary@eyce.org
Tel: +32 2 5106187
Fax +32 2 5106172
ONLY APPLICATIONS THAT ARRIVE BEFORE 10 th JULY 2004, 15:00 C.E.T. CAN BE CONSIDERED.