This form must be submitted by 12pm (noon) on 11 December 2020.

 

By completing this form you agree to be contacted via email by the National Academy for Social Prescribing (“NASP”) and the North West Thriving Communities Partnership (which consists of Burnley, Pendle and Rossendale CVS, Salford CVS, Sefton CVS and Voluntary Sector North West) in relation to social prescribing and related Learning Together training and webinars.

Question Title

* 1. Please enter your contact details and details of your organisation

Question Title

* 2. What does your group or organisation do and where does it operate? (200 words max)

Question Title

* 3. Tell us about the communities and people you support? How have they been impacted by COVID19? How many people do you support? (200 words)

Question Title

* 4. Does your group work on any of the following themes? (Tick all boxes that apply)

Question Title

* 5. Why do you want to be part of Learning Together? What do you want to achieve? How will it benefit you? (400 words)

Question Title

* 6. In terms of developing your social prescribing work, which of the following themes do you want to explore? (Tick all boxes that apply)

Question Title

* 7. How is your group or organisation run and managed? Are you a volunteer-led community or faith group, a social enterprise or voluntary organisation? Do you employ staff? If so, how many? How many volunteers do you have? (100 words)

Question Title

* 8. Can you tell us which part of the North West region you are based? Tick boxes as appropriate.

Please note that applications for North Cumbria should be sent to: NorthEastYorkshire.ThrivingCommunities@NASP.info

Question Title

* 9. Your personal data

By completing this form you agree to be contacted via email by the National Academy for Social Prescribing (“NASP”) and the North West Thriving Communities Partnership (which consists of Burnley, Pendle and Rossendale CVS, Salford CVS, Sefton CVS and Voluntary Sector North West in relation to social prescribing and related Learning Together training and webinars.

In addition, from time to time NASP would like to send you information about other programmes that may interest you or the organisation that you represent. Please tick below if you would like to receive these messages via:

T