Mental Health Exchange Programme - Croatia, 2nd wave

Preferred group *

Select the periods you are interested in from the options provided. You can choose multiple periods to increase your chances of securing a spot. After the selection process, you will be assigned to a group based on availability and informed via email.

First name *

Last name *

Date of Birth *

Nationality *

Country of residence *

The exchange programme is open to participants from all 27 EU Member States, Norway, and Iceland. A total of 150 participants will be selected, with quotas assigned to sending countries based on their population size and active engagement in the mental health sector.

Email *

Please confirm by entering your Email address twice.

Confirm the previous field *

Mobile Phone *

My level of English is equal or major of B/intermediate *

Exchange visits will be performed in English. This is an intermediate-level qualification for those who master the basics of English and have practical language skills for everyday use. Please assess your English proficiency using the Europass Self-Assessment Grid based on the CEFR. Link to the Europass Self-Assessment Tool: https://europass.europa.eu/en/common-european-framework-reference-language-skills

Do you work for / cooperate with one of the other organisations that hosts our Exchange Programme? *

Which hub are you affiliated with? *

What is your role at the affiliated hub? *

Gender Identity *

Please select your professional profile: *

Years of Experience: *

Institution/Organisation *

Years within the Institution/Organisation *

Official Job Title *

Position within the Institution/Organization *

lease describe your responsibilities and tasks in your daily job in English

Please share a specific personal experience or realisation that inspired you to apply for this exchange programme, which focuses on learning about another country's mental health practices and community-based care system. How has this experience shaped your view on the significance of community-based mental health initiatives? *

Please write in English not more than 250 words

In the future, how do you plan to integrate the knowledge gained from studying another country's practices and systems into your career goals? What impact do you aim to achieve in your community or field as a result of this exchange experience? *

No more than 250 words

Are you particularly interested in any specific areas of the program? Please indicate below. (Please note that this does not guarantee any specific arrangements from the organizers):

How do you prefer to travel to the destination? *

Please be aware that flights are booked directly by us. All other modes of transport will be booked by you and reimbursed after completion of the Exchange Programme.

Other *

Your data (name, surname, mobile, ID) will be shared with the travel agency for flight booking. *

We will get back to you shortly to discuss all needed details.

Please select a different travel option in that case: *

Other *

I have read and understood the terms and conditions for reimbusement of travel and meal expenses. *

Do you have any medical conditions or pathologies that we should be aware of? If yes, please provide details.

Please also provide details of any arrangements we need to make on our side.

Do you have any dietary restrictions or special requirements? *

Other *

Please specify your allergies: *

Do you need any special arrangements due to disabilities or special needs? Please specify.

Will you require daycare services for your child(ren) during the Exchange Visit?

Full Name *

Email Address *

Confirm the previous field *

Phone Number *

Relationship *

Is your Contact able to communicate in English? *

In an emergency, it is crucial for us to be able to communicate effectively in English.

Please provide a different contact: *

Enter Full Name, Email address, Phone Number and relationship.

Do you have your EHIC? If you have another insurance, indicate this in the field "other" *

Please check if you already have a European Health Insurance Card (EHIC). You can find this information on the back of your health insurance card. If you do not have one, please request it from your health insurance provider. All EU participants, as well as participants from Norway and Iceland, are covered through their EHIC for any medical needs. If you do not have an EHIC, please request it from your country of residence. If you are not covered, inform your event manager, and individual arrangements will be made.

Other *

Do you need an official invitation letter for your organization to authorize the mission? *

Name of Organisation *

Please give details of the addressee

Name of Superior (if needed)

Street *

Zip Code *

City, Country *

I have understood that, if I don't fill in the modification page within 1 week after being selected, my seat will be given to someone who is on the waiting list. *

How did you hear about this event?

Other *

I have read and understood the Consent for Data Protection Notice for the Exchange Visits. *

I agree to share my contact details with the members of my group