World Youth Congress Québec 2008


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Young Educator Application Form
[Application Deadline: 31st October 2007]

Please tick this box to confirm you are applying in the right category: Young Educator

Every Young Educator has to do an Action Project to be eligible to apply in this category:

	If you are applying on the basis of work you have done since August 2005	tick here
	If you are applying on the basis of new work you are currently engaged in or performing	tick here
	If you are applying on the basis of new work you are about to start	tick here
	If you are applying on the basis of new work for which you are seeking funding	tick here

By filling out this form, you are registering your interest in attending this Congress as a Young Educator If you and your project impress the selection panel, you will be asked for additional information – photographs, reports etc. If you are seeking funding for a project, you will be directed to the project application site. Note that, because we are likely to need additional information from you, please try to get this application form to us by 15th October 2007 - if possible.

Personal Information

Basic Information

Nationality

Name

Surname

Date of Birth

Gender

Contact Details

Mailing Address

Phone

Mobile Phone

Fax Number

Country of Residency

Language Ability
Spoken Languages
1)
2)
3)