Brussels, 5-8 April 2017

Application Form

Personal Details > Contact Details > Professional Details > Language and Communication Skills > Finalise


    Step 1. Please fill in your personal information.

    Last (Family) Name

    First (Given) Name

    Date of Birth

    Nationality

    Civil Status

    Sex

    Are you affiliated with a church?

    Please specify

    Do you have any health, medical or other concerns of which we should be aware?

    Next Step
    Step 2. Please fill in your contact information.

    Address

    Postal Code

    City

    Country

    Email

    Phone

    Mobile

    Skype Username

    Permissions

    I commit to completing any pre-readings for the European Advocacy Academy. Any pre-readings will be sent to participants about three weeks prior to the annual meeting.
    I am willing to share my contact information with the other participants in the European Advocacy Academy. (We will not share your contact information with anyone without your permission.)
    I understand that pictures and videos may be taken during the EAA and I give permission for them to be used in online and printed material belonging to European Dignity Watch.

    Next Step
    Step 3. Please fill in your professional and work skills.

    Highest educational/academic degree

    Which entity/organisation(s) do you work for?

    Is this your full time job?

    Are you the spokesperson of this entity?

    Have you been in a communication role for your organisation? (Examples)

    Next Step
    Step 4. Please fill in your language and communication skills.

    Mother Tongue

    Other Languages

    Work Proficiency in English

    Define your communication skills

    Have you gone through media training?

    What are the main challenges of the political agenda of your country at the moment? (For example: marriage, freedom of religion, gender identity, human dignity etc.)

    What do you expect from the training we are offering?

    Do you have any further comments?

    Next Step
    Step 5. We are almost there.

    Lodging preference

    Payment--

    Price includes: Lodging, Conference, Most meals, Trainers, Materials

    Note

    The participation fee is already 80% sponsored.

    Please note that all travel expenses are your responsibility.

    If you need financial assistance in order to participate in the EAA, please contact us. We cannot guarantee financial support, but we will do our best to help find a solution.

    Payments can be made after the application is approved. You will be informed whether your application has been approved no later than the 15th of March.

    You will have 5 days to make the payment after your application has been approved. Only after that will your registration process be completed.

    Thank you very much for your application!

    Your European Dignity Watch Team

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