First name of sponsor

Last name of sponsor

E-mail address of sponsor

Phone number of sponsor

Make a gift? Make a gift? Yes, I would like to be contacted by phone to make a donation to the Hagi-yaki association to support its activities.

Becoming volunteer? Becoming volunteer? Yes, I would like to be contacted by phone to become a volunteer.

Message

First name of candidate

Last name of candidate

E-mail address of candidate

Phone number of candidate

Can the candidate receive audio calls? Can the candidate receive audio calls? Can the candidate receive audio calls?

Does the candidate hold a Recognized Disabled Worker Status (RQTH)? Does the candidate hold a Recognized Disabled Worker Status (RQTH)? Does the candidate hold a Recognized Disabled Worker Status (RQTH)?

Does the candidate have disability recognition in another EU country? (Please specify):

Does the candidate know French Sign Language (LSF)? Does the candidate know French Sign Language (LSF)? Does the candidate know French Sign Language (LSF)?

Does the candidate know French ? Does the candidate know French ? Does the candidate know French ?

Does the candidate know English? Does the candidate know English? Does the candidate know English?

Does the candidate know Spanish? Does the candidate know Spanish? Does the candidate know Spanish?

What other languages does the candidate know? (separate languages by commas without spaces)

Birthday (dd/mm/yyyy)