Taalkeuze en zoeken.

2 - 13 mei 2012

Ukrainian Trip’2012

Application Form

Personal information

Full name:

Date of birth:

Gender (Male/Female):

Country, City:

E-mail:

Occupation:

English Proficiency (+): ( ) Excellent ( ) Good ( ) Basic

Other languages:

What do you usually do when you have nothing to do?

Rotaract information

Rotaract Club:

District:

What is your role in the Rotaract Club?

What is your favorite project in the Club? (3 sentences)

Other information

Have you ever been to Ukraine?

What is Ukraine for you in three words?

Why would you like to visit Ukraine?

Why The Black sea is “black”?

Imagine that you met Andriy Shevchenco and you can ask him only 1 question. What it will be?

Why do you think you are the best representative of your country for Ukrainian Trip 2011?

Where did you learn about Ukrainian Trip?

Face control: Please don’t forget to give us a chance to see you – send us your best photo!

The filled application form together with a photo should be sent to ukrainian.trip@gmail.com by March 1st 2012.

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