Apply to Via Experientia Long-term Training Programme 8th edition/2019-2020 Name (required) Surname (required) Date of birth Contact Info Your Email (required) Tel Number Address Your background Your current occupations, job status - are you full-time/part-time/volunteer/manager etc? Your experiences of working with groups and teams. Your interest in VIA Your motivation to take part in this training course? Your personal expectations towards this training Any other comments? Any special dietary requirement we should be aware of (ie: vegetarian, lactose or gluten intolerant, allergies, etc) I agree that my personal data given in this application form will be held and treated for purposes connected to the contractual relation and to the obligations as per law in force and may be made available to other participants