First name

Last name

Age

Gender
ManWomanOther
 

Country of origin

Mobile phone number with full country code (Please list the phone number which
is/could be connected to your WhatsApp)

Your email

Special needs, if you have any (that should be taken into account during the online training such as healthcare etc.)

Your hosting organization

Are you doing your activities at your Hosting organization physically or online? Shortly describe your activities before the quarantine and from home.

Because the training will take place online, do you have the possibility to find a quiet, private place/room in your apartment/organization’s office if needed (for sessions of the training)?

Would you be able to use a computer during ALL training sessions and do you have a good internet connection?

Are you familiar with using online learning/meeting tools, for example Zoom or other? (If yes, 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