Pre-registration form  
 Jump Over the Wall 
 Biography, European Citizenship and Empowerment of Women. Course for Adult Educators on Biographical Method in Empowering Education
Cracow, Poland, 24th till 30th March 2013
Grundtvig Course, Session 2, Reference Number in EU Grundtvig/Comenius Training Database: PL-2012-108-004
First Name  
Family Name   
Date of Birth 
Postal address for correspondence 
E-Mail address 
English language skills, mark from 1 low to 5 high 
Reading:        Speaking:       Writing:
Other languages
Education, including gender education or gender activities. 
(if applicable). If retired / unemployed: what former job did you do? 
What is your main motivation to take part in the course? 
Other information you would like to mention 
Date: ………………………………….
    Fundacja Kobieca eFKa
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