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Home
About
Contact
News
News about Ukraine
FAQ
Network
Projects
Creative FLIP
MAkersXchange
S4FASHION
CORAL-ITN
CENTRINNO
Creation
Crowdfunding4culture
CHLaYdoscope
Future DiverCities
Cyanotypes
Glammons
Tools & Learning
Programs for Members
Staff Exchange Mobility Program
Application Form
Applicant information
First Name:
Last Name:
Email
Mobile phone number:
Gender
Year of birth
Nationality
Exchange details:
Your creative hub:
Your position in the organisation:
Your organisation’s website:
Your organisation’s address:
The hub you are willing to visit:
The hosting hub website:
The hosting hub address:
Did you already check the hosting hub’s availability?
YES
NO
Proposed dates:
Work Plan
Title of the exchange:
Main format of the mentoring:
Main objectives:
Program:
Expected outcomes:
Personal data disclaimer
Kindly tick the appropriate answer for the 3 questions below:
Your personal information collected for the purpose of managing the scheme and the European Creative Hubs Network project, will be used in line with data protection standards of ECHN.
ECHN will treat all personal information in accordance with EU law, including data transfers, and its own information security and privacy policy, and will not sell or disclose your details to 3rd parties for commercial reasons.
By answering the questions on the application form I agree that some of this information might be used by ECHN in the reporting process to the European Commission.
YES
NO
My contact data can be shared with other participants.
I agree
I don’t agree
Name
Title
Date
Signature
Send