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ACME SKINS SYSTEM
EY
EUROYOUTH
Application Form
INVOICE
No:
INV-466487
Date:
26 Jul 2026
From
Erasmus House, 12 Exchange Square
Email
Brussels, BE 1000
Phone
info@euroyouth.eu
Bill To
First name
*
Last name
*
Email
*
Phone
Applicant Details
Year of birth
Country of residence
*
Select country
Germany
France
Spain
Italy
Portugal
Netherlands
Austria
Belgium
Greece
Poland
Sweden
Ireland
Other
Start month
Select month
January
February
March
April
May
June
July
August
September
October
November
December
Duration (months)
Programme Selection
Programme selection
*
Erasmus Exchange
Berlin · Paris · Madrid
✓
Language Immersion
Florence · Lisbon · Vienna
✓
Solidarity Corps
Amsterdam · Prague · Athens
✓
Service Description
Subtotal
—
Tax (0%)
—
TOTAL
—
Total
Interests
Interests
Art & Design
Technology
Sustainability
Music
Sports
Cuisine
History
Entrepreneurship
Accommodation Preference
Accommodation preference
Host family
✓
Student residence
✓
Private apartment
✓
Motivation Statement
Motivation statement
Newsletter
Subscribe to programme updates and newsletters
Terms
*
I agree to the EuroYouth Terms & Conditions and Privacy Policy
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EuroYouth Exchange · Registered charity No. 8821034 · info@euroyouth.eu
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