Application form

Please fill in the application form for the Economic Forum of Young Leaders 2009. We accept the applications by the July 17, 2009. In case of technical problems contact us: forum@forum-leaders.eu

Please note: required attachment for application is passport-type photo (size 200 x 280 pixels, color 24-bit in .jpg format in good quality). The name of the photo file must contain family name and first name e.g. smith_john.jpg)

Name * First Last
Gender *
Date of birth * / DD / MM YYYY
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Your phone number *
Mobile phone (with the country code) *
Email *
Institution *
Position/function *
Web Site *
Are you vegetarian? Yes No
Do you eat pork? Yes No
Any other special needs
Did you participate in past editions of the Forum? * Yes No
If yes, please indicate in which year was that:
Passport information (ONLY FOR NON EU-COUNTRIES)

Obligatory for participants from East Europe, Balkan countries (except Croatia), South Caucasus, Turkey.
Passport number
Date of issue / DD / MM YYYY
Date of expire / DD / MM YYYY
Country which issued the passport:
SOME INFORMATION ABOUT YOU
Please give a short description of your work *

Please tell us about your experience in work in civic, political and economic areas, additional experience gained in different seminars and courses, current involvement in political, social, civic NGOs and other organisations etc.
Please give a short description of your institution *

Tell us briefly about your institution, it's work, mission and main activities.
What is your motivation to take part in the Forum? *

Tell us why do you want to take part in the Forum? How could you contribute to the Forum and what are your interests?
Please indicate your knowledge of the English language * elementary communicative advanced fluent native
How did you learn about the Economic Forum of Young Leaders? *
Upload your photo. Please note: the photo file must contain your first and last name. *

Why do we need your photo? It is required to print special ID/badge for every participant which allows also entering the Economic Forum in Krynica.
Despatch filled registration means agrement for:
- consent to processing participant’s personal data by the European Meeting Centre – Nowy Staw Foundation as required by the recruiting process according to the Polish law of August 29, 1997 on protection of personal data (Dz. U. Nr 133 poz. 833). Any time applicant have the right to inspect and change one’s data.
- receiving via Internet all information about the Forum from the European Meeting Centre – Nowy Staw Foundation (according to the Polish law of July 18, 2002 on providing services via internet (Dz. U. Nr 144 poz. 1204). Any time applicant can change the agreement.

Application form

Application form

Passport information (ONLY FOR NON EU-COUNTRIES)

SOME INFORMATION ABOUT YOU