PRAGUE WORKSHOP APPLICATION FORM
This form should be sent electronically to Mr Adam Shapiro adamsop@hotmail.com by Wednesday 7th of March 2001.
Name: Surname:
Sex: Male___ Female____
Date of birth: Place of birth:
Address:
Telephone:
e-mail:
School attending:
Name the bi-communal youth group(s) you are a member of:
Briefly describe any bi-communal projects you have been involved in and/or activities that you have attended:
Mention any artistic talents and relevant experience you may have eg. in singing, playing musical instruments, acting etc
