Sign up - LRE Youth Program

Application Form

First Name

Last Name

Date of Birth

Nationality

Gender

Phone Number

Country of residence and city

What language(s) do you speak?

What is your educational background?

Please indicate any dietary requirements or allergies you might have below.

For which exchanges and themes would you like to apply? Dates are subject to change.

From Westerbork to Bergen-Belsen (September 2026)

Tell us why you would like to participate. You can submit your motivation as a written text, or a link to a video and/or an audiofile.

What are your hopes and expectations regarding the exchange?

Do you have any particular physical or mental needs that require additional aid and/or do you have reduced mobility that requires additional support?

Link to LinkedIn profile/Instagram/TikTok/etc

Any other relevant information you would like to share?