INTERNATIONAL PEOPLE’S PROJECT APPLICATION FORM

IPPA2000

(Please type / print with Block Letters in English.  Return the completed form to your National IPP Coordinator)

 

Application for (one form per person):

Family Name:

 

First Name:

 

Country:

 

Passport Nationality:

 

Date of Birth:

___ / ___ / ___ (day/month/year)

Sex:

[   ]

Male

 

[   ]

Female

Reference Number of IPP you wish to apply for:       IPP -           -          -           (number-country code-year)

Position you wish to apply for:  Participant  /  Staff  (please delete one)
               

 

Mailing Label:

We will contact you via the information on this label. Please type or print clearly in block letters using black ink, leaving a blank space between words. Use English alphabetical letters (one per space). Line 1 mailing name only; Lines 2‑6 address and post code; Line 7 country only.

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Nation

Area

Number

Home Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Office Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fax Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-mail Address

 

 

 

CISV Membership

 

All IPP Participants and Staff MUST take out individual activity participation membership in CISV International Ltd. In filling out this application form and applying to participate in the IPP, you are also applying for this international participation membership. If you do participate in the IPP, the £10 membership fee will be invoiced through your National Association.

 

Are you a member of a CISV National Association / Chapter?

 

Country:

 

Chapter:

 

 

 

Note:  If your application is succesful this form will be passed on to the project staff.  During the project the staff will confirm the contact details above are still correct.  After the project this form will be sent to the CISV International Ltd. office were it will be stored for upto 12 months, after which time it will be destroyed.


 

 
 

 (Cont.)

IPPA2000