Enrollment form to event
«EVS Midterm Evaluation, 22-26 OCTOBER 2017»

Registration Deadline
25 . 09 . 2017
22 Octombrie 2017 - 26 Octombrie 2017
Jud. Brasov, Braşov, to be decided
Event type
Eveniment SEV
Identification data
A. First Name *)
B. Last Name *)
C. Email *)
D. Phone
E. Country *)
Enrollment form
The following form must be filled in by the EVS volunteers hosted in a Romanian project for more than 6 months.

IMPORTANT NOTICE: All lines are compulsory! When finished, click on the "Save Form" button

MidTerm Evaluation takes place at the middle of the EVS service and it lasts, on average, for three days.
1. Name and Surname of Volunteer *)
2. Title of the EVS project the volunteer is involved in *)
3. Name of the hosting (receiving) organization *)
4. Name of the sending organization *)
5. Reference number of the EVS project the volunteer is involved in (ex. 2016-X-XX01-KA105-xxxxxx) *)
6. Country of the sending organization *)
7. Country of the Volunteer *)
8. Volunteer Email Address *)
9. Name and Surname of Project Responsible *)
10. Project Responsible Email Address *)
11. Gender of the volunteer *)
12. Period of the volunteer activity starts at: *)
13. Period of the volunteer activity ends at: *)
14. What are your expectations regarding this seminar? *)
15. Special needs (food etc) *)
I agree that, if I will be selected for participation, I fully understand and I assume the obligation of my active and constant participation during the entire session. Also, I am fully responsible for any damage that I may cause during lodging and I know that in case of incident(s)/damage(s) caused, the hosting/coordinating organisation has the full right to request me for financial reimbursement!

Moreover, in accordance with the content of the "EVS Charter" provisions and "ERASMUS+ EVS Volunteering agreement", document that I declare to read and sign before my enrollment, I am aware of the fact that the receiving organisation is also contractually responsible toward the hosting National Agency for any consequences generated by my behavior during the participation of the EVS session!