Application Form – Transformers *Please fill out this application form

Application Form – Transformers
*Please fill out this application form completely and send it back to [email protected], with
subject line “Transformers Application, (Your Name and Surname)” (ex. Transformers Application,
Marko Markov)
Personal Information
Name
Last name
Age
Current address
Education (mark only your highest
level)
1)
2)
3)
4)
5)
6)
Status of employment (mark one)
1) Unemployed
2) Part-time job
3) Full-time job
E-mail
Mobile phone
Attending high school
High school degree
Attending bachelor studies
Bachelor degree
Attending master studies
Master degree
1. How do you think this project can benefit you (expectations, personal & professional
impact)?
2. How can you contribute to the Transformers (past experiences, education, ideas,
skills etc)?
3. Given the freedom to express your opinions and creativity publicly, how will you do
it (art work, poetry, videos, photos… explain in more details)?
4. If you have the chance to change something in your local community, what would
that be and how it can be done?
5. How do you understand civic activism, what does that mean to you?
6. Which languages can you speak and understand?
7. Are you available to attend 5 trainings and get involved in organizing at least 2
transformative actions in the period of January – May 2017 (mark one)?
a. Yes, I confirm I can attend all the 5 trainings and be part of transformative
actions
b. No, I cannot commit attending 5 trainings – but I can get involved in
transformative actions
c. No, I cannot make any commitments
8. Do you have special health or dietary needs we should be aware of?