Eurodyssee.net : Youth form

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1. Login details

Username*

Password*

Password confirmation*

2. Personal data

Last Name*

First name*

Country*

Nationality

Gender*

Date of birth*... Pick date

Place of birth*

Address*

ZIP code*

City*

Identity, Passport or Citizen card number*

Identity, Passport or Citizen card date*... Pick date

Marital Status*

Please specify your language competences according to the "European language levels - Self Assessment Grid"

	Understanding		Speaking
	Listening	Reading	Spoken interaction	Spoken production	Writing
English
French
Spanish
Other
Other

3. Contact information

Email*

Name(s) and telephone number(s) of persons to be contacted in case of emergency

International phone code*

Phone*

International mobile phone code

Mobile phone

4. Other information

Attach photograph

Do you have a driver's licence ?*

Do you have any traineeship experience abroad ?*

Do you have any distinctive body marks or signs (piercing, tattoos, etc.) ?

Present professional situation (In case you are working, what is the duration of your work contract ?)*

Attach curriculum vitae in PDF format*

Qualification awarded

Academic Title

1 - Correspondence to ISCED-97 LEVEL 3
2 - Correspondence to ISCED-97 LEVEL 4
3 - Into some extent, correspondence to ISCED-97 LEVEL 5B (2 and less than 3 years degrees)
4 - Into some extent, correspondence to ISCED-97 LEVELS 5A/5B (first degrees)
5 - Into some extent, correspondence to ISCED-97 LEVELS 5A/5B (second degrees)
6 - Into some extent, correspondence to ISCED-97 LEVEL 6

For further information about the International Standard Classification of Education – ISCED 97, please go to http://www.uis.unesco.org/TEMPLATE/pdf/isced/ISCED_A.pdf or please consult the Manual for ISCED-97 Implementation in OECD Countries 1999 Edition: http://www.oecd.org/dataoecd/41/42/1841854.pdf

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I declare, under my honour that all the information stated above is exact and complete.

I’m aware that my traineeship application file is just a part in the candidate’s selection. My traineeship participation only can be done with the help of the competent authorities in the shelter regions and according the available number of vacancies.*

All the information is strictly confidential and are addressed to the responsible organisms by the Eurodissey program in the shelter and origin regions of candidates as also to the companies that welcome them. It can not be revealed to other people, excepting consular administration authorities of custom rights and boarder police.

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