Ente Autonomo Parco Nazionale d`Abruzzo, Lazio e Molise

Transcript

ENVIRONMENTAL EDUCATION SERVICE
1. Name _________________________ Surname _________________________ sex: | F | - | M |
2. Address ____________________________________________ zip code ___________________
City ________________________________________ Country __________________________
3. Phone______________________ fax __________________ e-mail: ______________________
4. Place of birth _____________________________________ date _______ / _______ /________
5. Diploma(s) ____________________________________________________________________
6. Specialization __________________________________________________________________
7. Other qualification(s) ____________________________________________________________
8. Occupation ____________________________________________________________________
9. Languages and their level of knowledge:
FRENCH
ITALIAN
__________
__________
basic
basic
basic
basic
good
good
good
good
excellent
excellent
excellent
excellent
10. Previous experiences of voluntary service ____________________________________________
period_________________________________________________________________________
11. Previous job(s) _________________________________________________________________
period(s) ______________________________________________________________________
12. Please, indicate your degree of knowledge of the Abruzzo National Park:
nothing
poor
fair
good
Ente Autonomo Parco Nazionale d’Abruzzo, Lazio e Molise
Centro Operativo Servizio Educazione - Ufficio Volontariato - Via Roma - 67030 VILLETTA BARREA (AQ)
Tel. 0864/89102 Fax 0864/89132 E-mail [email protected]
13. Select the Period:
01°
dal 17 February al 02 March
14
11°
dal 06 July
al 19 July
14
02°
dal 02 March
al 22 March
21
12°
dal 20 July
al 02 August
14
03°
dal 23 March
al 29 March
7
13°
dal 03 August
al 23 August
21
04°
dal 30 March
al 12 April
14
14°
dal 24 August
al 13 September
21
05°
dal 13 April
al 04 May
21
15°
dal 14 September al 27 September
14
06°
dal 08 May
al 14 May
7
16°
dal 28 September al 11 October
14
07°
dal 15 May
al 21 May
7
17°
dal 12 October
7
08°
dal 25 May
al 07 June
14
18°
dal 23 November al 29 November
7
09°
dal 08 June
al 14 June
7
19°
dal 30 November al 13 December
14
10°
dal 15 June
al 28 June
14
20°
dal 21 December
7
al 18 October
al 27 December
I agree to collaborate with the Abruzzo, Lazio and Molise
National Park as a Volunteer, according to the regulations in force.
Date ____________
Signature ___________________________
Form to be filled in and sent to:
(see the address below)

Ente Autonomo Parco Nazionale d`Abruzzo, Lazio e Molise

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