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GROW 11 grade 12 grade 2015 Application Form

A little about you

Name and Surname

Gender

Female

Male

Your birth date

The name of your High School
Choose the city in which you want
to participate at GROW
What grade are you in?

How did you find out about GROW? (Check the box from the left side of the corresponding answers)

Poster in my High School

I received a flyer
I received an e-mail
Friends
Yahoo
Newspaper/Magazine
Other websites (please specify which
ones)

From a teacher
From a family member
From a class presentation
From an AIESEC representative
Facebook
Radio
Other source (please specify)

Contact Information
Mobile Phone
E-mail address
Home address
Facebook ID
Have you ever participated in another GROW edition? (Yes / No)
If yes, please let us know in what edition you were involved.
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GROW 9 grade - 2011 SPRING
GROW 10 grade 2013 SPRING
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GROW 10 grade - 2011 AUTUMN
GROW 11 grade 2013 SUMMER
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GROW 11 grade - 2011 SUMMER
GROW 12 grade 2013 SUMMER
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GROW 12 grade - 2011 SUMMER
GROW 9 grade 2014 SPRING
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GROW 9 grade - 2012 SPRING
GROW 10 grade 2014 SPRING
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GROW 10 grade - 2012 SPRING
GROW 11 grade 2014 SUMMER
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GROW 11 grade 2012 SUMMER
GROW 12 grade 2014 SUMMER
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GROW 12 grade 2012 SUMMER
GROW 9 grade 2015 SPRING
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GROW 9 grade 2013 SPRING
GROW 10 grade 2015 SPRING

Your skills
What is your English proficiency? (basic / intermediary / fluent / advanced)
Speaking
Listening ....
Reading ..
Writing ..

Your motivation
I want to participate in GROW because

I have been informed, and I understand that the activities that I will attend will be delivered in
English by a foreign student or graduate. I am totally responsible (together with my legal tutors)
for my full participation during the GROW educational program. As a participant in the GROW
program, I will provide during the second meeting a written document signed by one of my legal
tutors for taking full responsibility of my participation.
I understand that I will receive at the end of the program a certification diploma if I will attend all
the educational modules provided by the organizers. I am available to participate to all the
program and I am also available to participate during the extra activities. As this program is
designed to support the educational development of the participants, I hereby commit to respect all
the participants in the program and to collaborate with the organizers, trainers and other
participants for a successful implementation of the program. I agree to allow the organizers to use
my personal data strictly for organizing purposes (information, reminders, communication and
possible newsletters) and all the visual materials that I appear in, for promotion purposes.
Scoala de Valori processes your personal datas by automatic and manual means. The purpose of
collecting these dates is carrying out the GROW program activities, making reports and analysis on
educational needs and sending on e-mail informations regarding Scoala de Valori's new activities.
Scoala de Valori is registered at ANSPDCP - National Authority of Supervizing the Personal Data
Processing- in the register of personal data processes, with 27171 number.
I have read and I agree with the terms and conditions: Yes / No