Application form - Training for Senior Contemporary Group Leaders
Within the framework of the project “We wish a better world” supported by the European Commission, the 48-hour long Training for Senior Contemporary Group Leaders will take place from the 8th to 19th of January, 2018.  in Ħal Lija, Malta. We are looking for those who are willing to participate in the development of ICT skills for senior groups (peer-to-peer education).
The training institution shall keep the information recorded confidential and use it for organising the training. The provided data will not be available to third parties.
Further information on the training can be requested: Matthew Borg; e-mail: matthew.d.borg@mca.org.mt; phone: +00356 99031065 , MCA

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Name: *
Surname: *
Sex (male or female): *
Mother's name: *
Place of Birth: *
Date of Birth: *
Nationality: *
Required
Home Address: *
Mailing Address:
If it is the same as the home address, it is not necessary to fill it out.
Phone Number: *
Including country and area code.
E-mail address: *
ID-card or passport number (for booking the flight and accomodation)
Do you have a Facebook account? *
Highest Level of Education: *
Please submit a copy of the documents certifying the highest level of your education as this is a precondition for participation in the training
Do you have any disability we should know about? *
If the previous answer is yes, please specify what special needs you have
Contact Person (in case of emergency) *
Please provide contact deatils as well (phone number or e-mail address)
When and how will you arrive to Malta and to Ħal Lija? *
Special Diet: *
Required
Will you bring your own laptop, smartphone, tablet with you? *
Required
Have you got any experience in training elderly people? If you have, please describe *
How would you describe your knowledge on ICT? (Please describe the software and applications you know and often use.) *
Level of English: *
Please describe your actual knowledge, no need to present any certificates.
Describe your motivations for participating in the training (where would you benefit from it): *
Where/How did you hear about the training? *
Required
Other comments:
Statement: *
Required
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