Scheda per la segnalazione dei candidati

Fascia 18 - 30 anni

1 ____________________________________________________

2 ____________________________________________________

3 ____________________________________________________

Fascia 31 - 55 anni

1 ____________________________________________________

2 ____________________________________________________

3 ____________________________________________________

Fascia oltre i 55 anni

1 ____________________________________________________

2 ____________________________________________________

3 ____________________________________________________