Your Name and Sirname (required)

Your Email (required)

Mobile Number (required)

Date of Birth (required)

Gender (required)
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Address

Address Line 2

City

For which youth exchange do you apply?
Timisoara.........

English Level (required)
A1 - BeginnerA2 - Elementary EnglishB1 - Intermediate EnglishB2 - Upper-IntermediateC1 - Advanced EnglishC2 - Proficiency

Tell us what you are currently doing:

Why would you like to participate to this project?

Have you participated to other projects in TR or abroad? Please explain

How can you contribute to this project and to İmece Network?

How about your vaccinations?

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