* 1. What is the name of the school or college that you have just left?

* 2. Which year group have you just left from?

* 3. Which school did you attend until age 16?

* 4. What type of course were you on?

* 5. Why did you leave? (Please select as many options as apply)

* 6. Would any of the following have helped you to stay on the course?

* 7. Did you receive 16-19 Bursary funding or any other funding to support you during the course?

* 8. Did you know about the 16-19 Bursary fund before starting the course?

* 9. What are you doing at the moment?

* 10. Would you like any help? If so please provide your email address and we will be in touch. Thank you

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