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Name/Surname *
Contact Details *
Choose area ... *
Urban
Rural
Choose country ... *
Romania
Spain
Greece
Lithuania
Poland
Age *
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18
19
20
21
22
23
24
25
26
27
28
29
Other
Gender *
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M
F
I would rather not say
Target group *
Choose target group ...
Roma ethnicity
Migrant
Low skilled
Risk for poverty
Mental health problems/ Mental disability/Physical disability
Long Term Unemployed
Other
Marital status *
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Single
Married
Divorced
Widowed
Civil Partnership
Other – please specify
I would rather not say
Status *
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Registered
In process
In training
Apprenticeship/Learning on the job
Employee
Years of study *
Formal education *
Choose formal education ...
No formal education and/or illiteracy
No formal education but literate
Primary school education not completed (ISCED 1)
Primary school education completed (ISCED 1)
Gymnasium – not completed (ISCED 2)
Gymnasium – completed (ISCED 2)
Technical school – not completed (ISCED 3)
Technical school - completed (ISCED 3)
High-school – not completed (ISCED 3)
High-school – Baccalaureate Diploma or equivalent (ISCED 3)
Post-secondary non-tertiary education (ISCED 4)
High school education - studies completed, with a high school certificate (ISCED 3)
Short cycle tertiary education (ISCED 5)
University studies not completed
Bachelor degree or above (ISCED 6)
Other
Employment history *
Choose employment history ...
No work experience
Some work experience not registered
Apprenticeship/ Work practice (less than 6 month, 6-12 months, 12-18 months, 18-24 months, 36 months)
Less than 6 months work experience
Less than one year work experience
Between 1-3 years of work experience
More than 3 years of work experience
Other
Duration of unemployment *
Choose duration of unemployment ...
Less than 6 months
6-12 month
1 – 2 years
2 – 5 years
More than 5 years
Work skills *
Choose work skill ...
No technical skills
Technical skills but no certification
Certified technical skills – please specify which
Certified technical skills, no practical experience
Other
Additional mentions *
Interests *
Interest cannot be blank.
Being outdoors
Gardening
Agriculture
Building furniture, working with wood
Decorating things
Collecting things
Listening to music
Playing an instrument/singing
Travelling
Working with children
Charity work
Auto work/repair
Meeting people
Building things
Exploring new places
Supervising people
Public speaking
Using social media tools
Conserving natural resources/Recycling
Drawing, painting, sketching
Organizing information/records
Working with and being around animals
Reading
Designing/creating new things
Doing electrical work
Photography
Hands-on activities
Hand crafts
Working with elderly people
Caring for the sick
Selling things/ working in shops
Beauty/fashion/cosmetics industry
Cooking/Baking
Cleaning
Tailoring
Working in hotels
Working in restaurants
Working in a factory
Delivery
Constructions
Driving
Others- please specify
Work Preferences *
Interest cannot be blank.
Full time job
Part time job
Apprenticeship program
Night-shifts
Work during weekends
Willingness to commute
Income *
Choose income ...
No income
Less than 50 Euro per month
50- 100 Euro per month
100 – 200 euro per month
200-250 euro per month
More than 250 euro per month
Income source *
Choose income source ...
Social welfare
Unemployment subsidies
Disability subsidies
No income
Other – please specify
Additional mentions *
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