First name

Last name

Age

Gender
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Country of origin

Mobile phone number (with full country code)

Your Email

Your hosting organization

Contact person in your organization (provide name, surname, phone number, e-mail)

Since when you are volunteering in Lithuania and what is the total duration of your project?

Please describe your volunteering activities: your responsibilities, hosting organization, environment, biggest concerns, etc.

Are you doing your activities at your Hosting organization physically nowadays (under quarantine) or online? Please, explain.

Please evaluate your project as it has been so far (1 – very bad, 5 – excellent)
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What would you like to discuss, to learn, to get to know during the On-line Mid-term meeting?

Do you have the ability to find a quiet, private place/room in your apartment if needed (for some sessions of the training)?

Would you be able to use a smart-phone during training sessions?

Would you be able to use a laptop during training sessions?

Would you be able to use headphones?

Do you have a good Internet connection, i.e. you can have video talks without huge connection interruptions? Do you use WiFi or mobile Internet?

Are you familiar with using online learning/meeting tools (for example Zoom)? Or other tools (please, list below)

Please share your suggestions or other important info that we should know.

By completing this form, I give permission for my data to be held by the Agency of International Youth Cooperation and agree that the mentioned Agency may process personal data relating to me for event organization and follow up purposes, make such data available to its subcontractors related to this event and as required by law.
I give my permission to the Agency of International Youth Cooperation to make my contact details available to other participants of the event in print or online.
I am also informed that I have the right to access information about my personal data or revoke this consent to process my personal data at any time by notifying the Agency via info@jtba.lt or by following other instructions distributed by email. If the revocation of consent of data processing is not met, I am informed I have the right to complain to the supervisory authority.
Agree