APPLICATION FORM

Minority Inclusion shouldnt be Illusion

Intensive training course with the performance as fnal result
14 20 December, 2014, Belgrade, erbia
PERSONAL DATA
Nae!
Surnae!
Date o" birth!
Se#! !"#
Occu$ation%bac&'round!
Address!
City!
Country%Nationality%Or'ani(ation $if an%&'
Eail!
Tele$hone!
)ebsite $if an%&'
En'lish lan'ua'e! (uent"good"basic
*+ ,o- did you .nd out about this $ro/ect0
1+ Please describe your .eld o" -or& or study0
2+ )hat does discriination eans to you0
3+ )hat does inclusion eans to you0
4+ Do you ha5e any e#$erience in theatre ethodolo'y as toll "or social
chan'e0 Please describe shortly+ Share a lin& o" your -or& i" you
ha5e+
6+ Do you ha5e any e#$erience in -or&in' -ith national inorities "ro
your country0 Please describe shortly+ Share a lin& o" your -or& i"
you ha5e+
7+ )hat is your oti5ation to be $art o" this $ro/ect0
8+ )hat -ould you li&e to 'ain by ta&in' $art in this $ro/ect0 And -hat
to 'i5e0
9+ Describe yoursel" in 4 -ords!
*:+ Do you ha5e any s$eci.c needs or re;uireents that the host
or'ani(ation should &no- about0

Declaration!
I agree that m% personal data given in this application ma% be made available to
other participants) I underta*e to participate for the whole duration of the pro+ect) It
is m% personal responsibilit% for ensuring m% own health)
Date!
Nae and surnae o" $artici$ant!
A$$lication!
,lease do fulfll and send application to +elena)+e-dovic.reach)org)rs )
A$$lication deadline is *:
th
No5eber< 1:*3+ Announceent o" the results
-ill be until *4
th
No5eber< 1:*3+
FOR AN= ADDITIONAL INFORMATION PLEASE DO CONTACT!
/elena /e-dovic, 01234 ,ro+ect manager, +elena)+e-dovic.reach)org)rs,
5671842217679