Name of the group * Name of the person responsible for the group * E-mail address * Number of participants * Age of participants * below 18 18 - 27 28 - 55 over 55 Country of origin * - Select -AustriaBelgiumBulgariaCroatiaCyprusCzech RepublicDenmarkEstoniaFinlandFranceGermanyGreeceHungaryIrelandItalyLatviaLithuaniaLuxembourgMaltaNetherlandsPolandPortugalRomaniaSlovakiaSloveniaSpainSwedenAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCubaCuraçaoDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEthiopiaFalkland IslandsFaroe IslandsFijiFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGhanaGibraltarGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaIcelandIndiaIndonesiaIranIraqIsle of ManIsraelIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLebanonLesothoLiberiaLibyaLiechtensteinMacao S.A.R., ChinaNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPuerto RicoQatarReunionRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Town/Region * Preferred languages First choice * - Select -bgescsdadeetelenfrgahritlvlthumtnlplptroskslfisv Second choice - None -bgescsdadeetelenfrgahritlvlthumtnlplptroskslfisv Third choice - None -bgescsdadeetelenfrgahritlvlthumtnlplptroskslfisv Preferred date(s) and approximate starting time for the visit First choice * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202320242025 Approximate starting time for the visit * - Select -0910111213141516 Second choice Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202320242025 Approximate starting time for the visit * - Select -0910111213141516 Third choice Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202320242025 Approximate starting time for the visit * - Select -0910111213141516 Type(s) of group (choose one or more) * Agriculture / Environment / Fishery Civil Servant Consumers Cooperatives / Social economy Diplomat Employers Journalist Liberal professional Local / Regional / National elected officials National economic and social council NGOs Professors / Academia Students Trade Unionists University Students / Trainees Women Organisation Seniors Other Please specify the type of group * Is your visit part of the European Union Visitors' Programme – EUVP ? * Yes No Where did you hear about the EESC? * - Select -Press / social mediaEESC webpageMy organisation / institution / professional networkMy national Economic and Social CouncilOther Please specify where you heard about the EESC * Do you also plan to visit the CoR (European Committee of the Regions)? * Yes No Purpose of your visit / Other useful information * PRIVACY STATEMENT (please read before submitting this form) Data protection - consent form Leave this field blank Submit
