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Questionnare
Short Description of MSB
Projects Completed in 2007
Enter Incoming Questionnaire
I & II
III
IV
V
VI
VII
I. CONTACT DETAILS
Organization
*
Director of the Organization
*
Coordinator
Coordinator Mobile
Coordinator Email
Coordinator or director direct line
Coordinator Email2
Address
2nd Address (Optional)
Country
Select a Country
United States
Andorra
United Arab Emirates
Afghanistan
Antigua and Barbuda
Anguilla
Albania
Armenia
Netherlands Antilles
Angola
Antarctica
Argentina
American Samoa
Austria
Australia
Aruba
Azerbaijan
Bosnia and Herzegovina
Barbados
Bangladesh
Belgium
Burkina Faso
Bulgaria
Bahrain
Burundi
Benin
Bermuda
Brunei Darussalam
Bolivia
Brazil
Bahamas
Bhutan
Bouvet Island
Botswana
Belarus
Belize
Canada
Cocos (Keeling) Islands
Central African Republic
Congo
Switzerland
Cote D'Ivoire (Ivory Coast)
Cook Islands
Chile
Cameroon
China
Colombia
Costa Rica
Czechoslovakia (former)
Cuba
Cape Verde
Christmas Island
Cyprus
Czech Republic
Germany
Djibouti
Denmark
Dominica
Dominican Republic
Algeria
Ecuador
Estonia
Egypt
Western Sahara
Eritrea
Spain
Ethiopia
Finland
Fiji
Falkland Islands (Malvinas)
Micronesia
Faroe Islands
France
France, Metropolitan
Gabon
Great Britain (UK)
Grenada
Georgia
French Guiana
Ghana
Gibraltar
Greenland
Gambia
Guinea
Guadeloupe
Equatorial Guinea
Greece
S. Georgia and S. Sandwich Isls.
Guatemala
Guam
Guinea-Bissau
Guyana
Hong Kong
Heard and McDonald Islands
Honduras
Croatia (Hrvatska)
Haiti
Hungary
Indonesia
Ireland
Israel
India
British Indian Ocean Territory
Iraq
Iran
Iceland
Italy
Jamaica
Jordan
Japan
Kenya
Kyrgyzstan
Cambodia
Kiribati
Comoros
Saint Kitts and Nevis
Korea (North)
Korea (South)
Kuwait
Cayman Islands
Kazakhstan
Laos
Lebanon
Saint Lucia
Liechtenstein
Sri Lanka
Liberia
Lesotho
Lithuania
Luxembourg
Latvia
Libya
Morocco
Monaco
Moldova
Madagascar
Marshall Islands
Macedonia
Mali
Myanmar
Mongolia
Macau
Northern Mariana Islands
Martinique
Mauritania
Montserrat
Malta
Mauritius
Maldives
Malawi
Mexico
Malaysia
Mozambique
Namibia
New Caledonia
Niger
Norfolk Island
Nigeria
Nicaragua
Netherlands
Norway
Nepal
Nauru
Neutral Zone
Niue
New Zealand (Aotearoa)
Oman
Panama
Peru
French Polynesia
Papua New Guinea
Philippines
Pakistan
Poland
St. Pierre and Miquelon
Pitcairn
Puerto Rico
Portugal
Palau
Paraguay
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saudi Arabia
Solomon Islands
Seychelles
Sudan
Sweden
Singapore
St. Helena
Slovenia
Svalbard and Jan Mayen Islands
Slovak Republic
Sierra Leone
San Marino
Senegal
Somalia
Suriname
Sao Tome and Principe
USSR (former)
El Salvador
Syria
Swaziland
Turks and Caicos Islands
Chad
French Southern Territories
Togo
Thailand
Tajikistan
Tokelau
Turkmenistan
Tunisia
Tonga
East Timor
Turkey
Trinidad and Tobago
Tuvalu
Taiwan
Tanzania
Ukraine
Uganda
United Kingdom
US Minor Outlying Islands
Uruguay
Uzbekistan
Vatican City State (Holy See)
Saint Vincent and the Grenadines
Venezuela
Virgin Islands (British)
Virgin Islands (U.S.)
Viet Nam
Vanuatu
Wallis and Futuna Islands
Samoa
Yemen
Mayotte
Yugoslavia
South Africa
Zambia
Zaire
Zimbabwe
City
Postal Code
Telephone
*
Fax
*
Email
*
Web
If the person we should contact is
different than the project coordinator
, please enter their information below:
2nd Contact
Telephone
Email
II. PROGRAMME DETAILS
Project Title
*
Project Number
Group Size
Estimated Arrival Date
Estimated Departure Date
Duration
(In weeks)
III. PROJECT OBJECTIVES
What are the objectives of this project? What outcomes do you hope to achieve by sending your group to Barcelona? How will the success of this programme be determined?
*
IV. REQUIREMENTS
Please indicate the requirements of your project, any activities you would like included, or the type of companies, organisations or educational establishments you would like to identify as host enterprises for study visits, professional observations. For work placements please indicate the fields of interest of each member of your group.
*
V. SPANISH LANGUAGE ABILITY OF BENEFICIARIES
Spain is a Spanish-speaking country and Spanish language is crucial for successful projects in Spain. For Exchanges and Observations you may bring a Spanish-speaking member to act as interpreter, or engage the services of a Spanish interpreter. For Work Experience participants must have an intermediary level of Spanish. Participants must have enough Spanish ability to understand their duties and communicate with their supervisors and colleagues. For participants with no Spanish background we recommend 2-4 weeks language training as the first part of the programme. After the completion of language training, if participants do not have enough Spanish ability to interview successfully in their field, they can be placed in areas that do not need as much Spanish or make use of any English abilities. Participants are evaluated on an ongoing basis and when they can interview successfully, they may move into a placement in their field of interest.
Please indicate participant's Level of Spanish
VI. OPERATIONAL REQUIREMENTS
Project Type
*
Select Project Type
Work Experience (less than 3 months)
Expert Exchange
Internship (3 months or longer)
Please check any or all of the following elements that may be required for your programme.
LANGUAGE SERVICES
Required if beneficiaries do not communicate well in Spanish or Catalan.
For Work Placements:
Will the beneficiaries need Language Training?
YES
NO
If so, at what level and intensity will your beneficiaries be placed?
Select
Beginner
Intermediate
Advanced
How many hours?
Select
10
20
30
40
More
For Expert Exchanges:
Will you be bringing an interpreter as a member of the group?
YES
NO
If not, will you be requiring the services of an interpreter during the visits?
(We recommend a minimum of 2-3 hours of interpreting services during week days)
LOCAL TRANSPORTATION
Includes passes for public transportation as well as airport transfers
Will your programme beneficiaries need a local public transportation pass?
YES
NO
Will they need airport transfers?
YES
NO
If you need airport transfers, at which airport do they intend to arrive?
BCN "El Prat"
Girona
Reus/Salou
ACCOMMODATIONS
A variety of accommodations are offered
What type of accommodations do you prefer?
Self-Catering
Hostal
University Residence
Host Family
Hotel
Do you require arrangements for food?
Food Allowance
Full-Board
Half-Board
Breakfast only
CULTURAL PROGRAMME
Includes specialized tours, outings and events
Would you like a cultural programme included?
YES
NO How many?
Areas of interest?
INSURANCE
Health Insurance:
You must bring the European Health Card or Equivalent
Trip Insurance:
May be bought in the country of origen.
Will you be taking out insurance in your country of origin?
YES
NO
MULTI-MEDIA
Presentation material.
Please note: most materials from host organizations will be provided in spanish o catalan
Do you have presentation material you need translated into Spanish for your visits?
YES
NO
If yes, please explain
OTHER REQUIREMENTS
Please let us know of any other operational requirements you might need for a successful programme
VII. PROGRAMME BUDGET
If you have a budget established for your project, please let us know the details
Element
Budget
Check - Per beneficiary or group
Language Training for Work Experience Programmes
€
Per
Beneficiary
Group
Language Services/Interpretation for Expert Exchange Programmes
€
Per
Beneficiary
Group
Administration Fee
€
Per
Beneficiary
Group
Accommodations
€
/ night
Per
Beneficiary
Group
Cultural Programme
€
Per
Beneficiary
Group
Local Travel Pass
€
Per
Beneficiary
Group
Airport Transfer
€
Per
Beneficiary
Group
Insurance
€
Per
Beneficiary
Group
Other:
€
Per
Beneficiary
Group
Other:
€
Per
Beneficiary
Group
Total Budget per Beneficiary
€
Total Budget per Group
€
Thank you. Once we have reviewed the requirements for your programme, we shall be in contact with you to process the necessary documentation.
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