Participant confirmation form

First name and Surname

Choose the program you want to participate in

Phone number you will use during the project

Insurance details (name of the company, insurance number and duration)

Departure date (from home country)

Arrival date (in host country)

Travel route and flight number(s)

Arrival date and time (in project location)

Return date and TIME from project location

Return date (to home country)

Name, email address and mobilephone number of a close relative who should be contacted in case if emergency

Do you have any mental or physical health issues that we or the host organization should be aware of?

Yes

Maybe

if you answered Yes or Maybe, please specify here:

What are your main goals for this project?

To improve language skills (multilingual competence)

To improve my social and personal skills (courage etc.)

To become more independent / clarify future plans

To enhance my cultural awareness and expression (intercultural communication)

To learn new ways to become an active citizen (global awareness, how to be more sustainable)

To improve my digital competence (e.g. media literacy)

To increase my entrepreneurship comptence (taking initiative, creativity

Something else

If you answered something else, please specify or add other information:

Please attach here a picture of the European Health Insurance card, if you have it.

If you do not have one, please order and send us a picture of it through email.

Yes, I confirm

I am not applicable for EHIC

Please attach the tickets you've booked below

I understand that I need to provide boarding passes to Allianssi Youth Exchanges after the project in order to get the travel reimbursement

Yes