Formular de inscriere ca voluntar

5
Y E L L O W S H I R T S Formular de inscriere in baza de date – voluntari – Nume _______________________________________________________ ____ Prenume _______________________________________________________ _ CNP ___________________ Data nasterii (zz/ll/aaaa) _____________ Strada _______________________________________________________ __ Nr. __________ Bl. __________ Sc. __________ Ap. __________ Asociația YELLOW SHIRTS Adresa: Str. Iza, nr. 3/3, cod 430073, Baia Mare, România Tel. mobil: +4 0741 249 264 e-mail: [email protected]

description

Formular de inscriere ca voluntar in baza de date a Asociatiei Yellow Shirts

Transcript of Formular de inscriere ca voluntar

Y E L L O W S H I R T S

Formular de inscriere in baza de date

– voluntari –

Nume ___________________________________________________________Prenume ________________________________________________________CNP ___________________ Data nasterii (zz/ll/aaaa) _____________

Strada _________________________________________________________Nr. __________ Bl. __________ Sc. __________ Ap. __________Cod postal ___________ Judet _____ Localitate __________________Telefon _________________________________________________________Adresa de e-mail _________________________________________________

Data ____________________ Semnatura ___________________________

Asociația YELLOW SHIRTSAdresa: Str. Iza, nr. 3/3, cod 430073, Baia Mare, România

Tel. mobil: +4 0741 249 264e-mail: [email protected]

Y E L L O W S H I R T S

Adaugati mai multe randuri in cazul in care aveti nevoie.

Domenii de interesCultura ArteSport Mediu l inconjuratorSanatate Drepturile OmuluiMinoritati Cetatenie ActivaPersoane cu dizabilitati Dezvoltare RuralaMedia si comunicare DemocratieAnti - discriminare Dialog inter - religiosEgalitatea intre sexe Combaterea SaracieiAltele (care):

Motivatie

Cunostinte lingvisticeLimba materna: ________________________

Asociația YELLOW SHIRTSAdresa: Str. Iza, nr. 3/3, cod 430073, Baia Mare, România

Tel. mobil: +4 0741 249 264e-mail: [email protected]

Y E L L O W S H I R T S

Alte limbi si nivelul in ceea ce priveste vorbitul si intelesul (0 – deloc si 5 – excelent)

Limba Nivel

Limba Nivel

Limba Nivel

Participari anterioare la alte actiuni__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Hobbyuri__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Asociația YELLOW SHIRTSAdresa: Str. Iza, nr. 3/3, cod 430073, Baia Mare, România

Tel. mobil: +4 0741 249 264e-mail: [email protected]

Y E L L O W S H I R T S

Alte lucruri despre tine__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Va multumim pentru timpul acordat!Fii indraznet! Fii Yellow Shirts!

Asociația YELLOW SHIRTSAdresa: Str. Iza, nr. 3/3, cod 430073, Baia Mare, România

Tel. mobil: +4 0741 249 264e-mail: [email protected]