APPLICATION FORM for the project:

“Culture of Peace 2001: Volunteers for the international friendship”

Hungary / Slovakia 3^rd - 12^th August 2001.

Instructions: 1) Please write legibly

2) Enclose two passport pictures

3) Please complete each section

1. PERSONAL

________________________________________________________________________________

First name / Middle name / Family name

Male( ) Female( ) Date of birth (d/m/y): / / Marital status: _____________________

Country of birth: ___________________________ Citizenship: ____________________________

Passport information:

________________________________________________________________________________

Country of issue / Date issue / Number / Expiration date

2. ADDRESS

Current mailing address: Street ______________________________________________________

City: ____________________________ State / Province: _______________________________

Postal / Zip code: ___________________ Country: _____________________________________

Telephone / Home: __________________________ / Office: ______________________________

Fax: ______________________________ E-mail: ______________________________________

Permanent address, if different: Street _________________________________________________

City: ____________________________ State / Province: _______________________________

Postal / Zip code: ___________________ Country: _____________________________________

Telephone / Home: __________________________ / Office: ______________________________

Fax: ______________________________ E-mail: ______________________________________

3. RECOMMENDATION AND SPONSORSHIP

The person who recommended you to IRFF: ____________________________________________

City: ____________________________ State / Province: _______________________________

Postal / Zip code: ___________________ Country: _____________________________________

Telephone / Home: __________________________ / Office: ______________________________

Fax: ______________________________ E-mail: ______________________________________

Can you pay the participation fee? (For West Europeans: 100 DM / East Europeans: 50 DM)

Yes ( ) No ( ) If not what amount can you pay? _______________________

4. LANGUAGE REQUIREMENT

This IRFF project will be run in ENGLISH (lectures, group discussions, etc.).

Please rate the level of your English knowledge according to the numerical scale: Poor (1-3), Fair (4-6), Good (7-8), Excellent (9-10).

Speaking ability: Poor ( ), Fair ( ), Good ( ), Excellent ( ).

Writing ability: Poor ( ), Fair ( ), Good ( ), Excellent ( ).

OTHER LANGUAGES:

______________________ Speaking ability: Poor ( ), Fair ( ), Good ( ), Excellent ( ).

Writing ability: Poor ( ), Fair ( ), Good ( ), Excellent ( ).

______________________ Speaking ability: Poor ( ), Fair ( ), Good ( ), Excellent ( ).

Writing ability: Poor ( ), Fair ( ), Good ( ), Excellent ( ).

5. EDUCATIONAL BACKGROUND

Indicate the highest level of your schools you attended:

________________________________________________________________________________

Degree / School / Location / Date Attended

6. WORK EXPERIANCES

Position / Employer / Location / Approximate Dates

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. SKILLS AND PERSONAL ACTIVITIES

Please make a list of your hobbies, skills, areas of interest.

1. _____________________________________________________________________________
2. _____________________________________________________________________________
3. _____________________________________________________________________________

8. MOTIVATION

Please write about your motivation, desires, and expectations concerning the project.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

9. ARRIVAL

How do you plan to arrive to Hungary / Esztergom? By: air plane ( ), train ( ), coach ( ), car ( ).

Other: ______________________ When will you arrive? ________________________________

I do understand that the project “Culture of Peace 2001: Volunteers for the international friendship” will be based on volunteer effort and I will participate based on this agreement.

IRFF will not cover any expenses concerning medical care or other personal need.

To keep the standard of general goodness and positive behaviour nor smoking, drinking, using drugs or exclusive relationships are permitted during the project.

I therefore agree to abide by all the rules and regulations of the project.

________________________________ _________________________________

Signature of participant Date

If the participant is under 18:

________________________________________________________________________________

name and signature of parent or responsible person

In case of any comment or suggestion an additional paper can be used.