Application deadline 12.04.2015

Part I – Your profile

A. Personal details

1. First and last name:

2. Sex (M/F)

3. Date of birth:

4. Profession / occupation …………………………………………..

5. University/NGO …………………………………………………..

6. Country of residence: Visa needed: YES/NO

B. Contact details

1. Postal address:

2. E-mail:

3. Home telephone:

4. Mobile telephone:

C. Language skills

Please mark your language skills of English according to 1=insufficient, 2=fair/quite good, 3=good, 4=very good, 5=excellent/native for the themes below.

Listening / Reading / Spoken interaction / Spoken production / Writing
1 / 2 / 3 / 4 / 5 / 1 / 2 / 3 / 4 / 5 / 1 / 2 / 3 / 4 / 5 / 1 / 2 / 3 / 4 / 5 / 1 / 2 / 3 / 4 / 5

Part II – Your application

A) Curriculum vitae of the participant (to be sent via e-mail at )

B) Cluj-Napoca City was designed to be the 2015 European Youth Capital and August was named the “month of peace” in the calendar with youth activities. At the end of the NISS, a Peace Manifesto will be signed. Please state your peace message in the box below:

Max 7 lines

C) As a video/ photo journalist, please provide us more details about:

  • IT skills and specific programs you are able to use: ______

______

______

  • Video/graphic/editing programs (for photo/video montage): ______

______

______

  • Your final NISS 2015 product that you would like to create: ______

______

______

Part III – Information

1. How did you learn about NISS?

  • EAD Society website _
  • EAD Society social media pages _
  • Model NATO Youth Summit Alumni _
  • NATO International Summer School Alumni _
  • University _
  • Your NGO _ (if case, please state the name ______)
  • Other _ (if case, please mention how ______)

2. T-shirt size: S, M, L

T-shirt color: blue/white

3. The participation fee is 195 euro and includes the accommodation at theRamada Hotelin Cluj-Napoca for 4 nights with breakfast, 3 lunches, 4 coffee breaks, study trip to Salina Turda and White Citadel (Alba-Iulia), welcome pack, workshop materials and final certificate.

4.If you need special assistance or if you have food restriction/allergy, please mention in the box below:

5. Results will be available on 20.4.2015. For more information, do not hesitate to write us at

6. Please note that only successful candidates will be contacted. If supporting documents are necessary in the selection process, we will ask for them in due time.

Part IV – Signature

By sending this application form, I hereby confirm that the above details are correct and may be registered by the organising association and used for administrative purposes.

Date and place:

Signature (typing your full name is adequate):

Please return this form at thetogether with your CV and essay, no later than 12th of April 2015, midnight. Any late application will not be taken into consideration.

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