EDE Palestine Enrollment Application
Thank you for taking the time to complete this form in the best way you can. This information supports us a lot in preparing for a successful and enriching course for all of us!
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Basic Information
Please fill out the following required basic information
First Name *
Last Name *
Age *
Gender *
Nationality *
Contact Information
Postal Address
Phone Number *
please provide area code
Email Address *
Language Proficiency
English *
Poor
Excellent
Arabic *
Poor
Excellent
Background Information
Profession, occupation, organization/project you are involved in: *
Any prior participation or experience in other sustainable education courses *
If you had any of the above, please explain where and when and what was it briefly:
Do you have any skills or a presentation that you would like to share with the group?
Please describe:
Please write a short description of yourself which will be shared with the rest of the group *
We will be sending these short biographies to the whole group before we start the course, so that you can start getting to know each other. Approximately 100 words, telling who you are, what you do, your dreams and visions!
EDE Course Information
How did you find out about this EDE course? *
Are you willing to participate in helping in some tasks during the course (like translation, organizing, technical support)?
If yes, please mention what you can imagine to support with
Clear selection
What is your intention in joining this Course? *
What expectations do you have about this EDE course? *
Additional Information
Please tell us about your experience in Palestine (if any) and/or other crisis areas:
Dietery preference *
Do you have any special physical, medical or emotional conditions or needs? *
Tell us how do you envision yourself using what you will learn in this course in the future *
What are the challenges that you imagine facing during the program? *
In 200 words, please describe what sustainable living means to you (your visions, talents and challenges for leading a sustainable life). *
This course is residential (staying at the venue is required). Do you have any barriers towards that? *
The duration of the first part of course is 14 days (second part in 2016). Would that be a barrier to your participation? *
Fees
We are offering this course on a suggested donation basis. The course will hopefully be supported by external funders, and this allows us to offer the course on a symbolic donation from the Palestinian participants, and we ask the international participants to contribute a little more. We suggest a contribution on a sliding scale, decided by each participant.

For International Participants:
2100 - 4200 NIS | $550 - $1100 | €500 - €1000
For Palestinian Participants:
150 - 850 NIS
How much are you able to contribute?
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