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Youth PowerHouse 2024 Sign Up Form
LEARN HOW TO BE A PODCASTER & RADIO PRESENTER WITH PROFESSIONALS FROM THE FIELD - RADIO PRESENTERS AND PODCASTERS!!
JOIN US AND HAVE YOUR FIRST PODCAST AIRED!
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Date of Birth DD/MM/YY (You must be
15
-20 years old
to participate in this programme)
(Required.)
*
4.
Gender
(Required.)
Male
Female
Prefer not to say
Self-describe
*
5.
What is the ethnicity that best describes you?
(Required.)
Asian - Bangladeshi/Pakistani/India
Asian - Other
Black African
Black British
Black Caribbean
White or White British
Prefer not to say
Self-describe
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6.
Please enter your contact infomation
(Required.)
Address
City/Town
ZIP/Postal Code
Email Address
Phone Number
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7.
Please fill out your Parent/Caregivers infomation
(Required.)
Name
Address
City/Town
ZIP/Postal Code
Email Address
Phone Number
*
8.
Do you attend School/College/Sixth Form?
(Required.)
Yes
No
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9.
If you answered 'Yes' to Question 8, which School/College/Sixth Form do you attend?
(Required.)
*
10.
What are your motivations to take part in Youth PowerHouse?
(Required.)
*
11.
How did you hear about the project?
(Required.)
Instagram
Twitter
Website
WhatsApp Message
Email
Word of Mouth
Other (please specify)
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12.
Do you have any medical conditions, food allergies, or disabilities we
should be aware of?
(Required.)
*
13.
Do you have SEND/additional needs?
(Required.)
No
Yes – SEN Status with EHC Plan
Yes – SEN Status without EHC Plan
Yes – Additional Needs
Not known
Prefer not to say
*
14.
Do you have any other comments?
(Required.)
*
15.
Have you taken part in other projects/events organised by The Hebe Foundation?
(Required.)
Yes
No
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16.
If you answer 'Yes' to Question 17, please let us know the name of the projects you have taken part in.
(Required.)
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17.
Are you currently receiving/have ever received free school meals?
(Required.)
Yes
No
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18.
We need to hold the details you give us in order to be able to email or call you.
We take pictures to be able to report to funders and get more funding to be able to deliver our programmes as well as to publicise our activities. IF YOU DO NOT WISH TO GIVE CONSENT, please discontinue this section.
(Required.)
I give consent for you to Email or Call me
I give consent for you to hold my details (Required )
I give consent for me to be Photographed
I give consent for me to be Filmed
I give consent for me to be Audio Recorded
*
19.
Terms & Conditions and Privacy Policy
Personal information will be treated in line with The Hebe Foundation GDPR and will not be shared with 3rd parties. By completing this form you are giving us consent to contact you about the programme Youth PowerHouse.
Data Collection
Why we collect your information:
All personal information included on the forms is collected to administer your participation in the Youth PowerHouse programme.
How we use your information:
The information and data provided on the forms will be used to:
• Administer the programme and monitor our activities. Your personal responses on this form will only be shared with authorised project partners, evaluation consultants and the funder for reporting purposes.
• With your consent we may:
• Use photographs, video, and audio recordings of young people to showcase and promote the programme, The Hebe Foundation, and project partners as stated above.
• Support you with any needs that you might have (completing this information is optional)
• We will not sell or share your information with any other parties.
You have the right to request access to your data and for us to correct or delete your data by contacting us at the address below. You may withdraw your consent to us processing this data or request that we do not contact you by any of the methods below at any time. However, that may mean that you will be unable to participate in some or all of the programme.
How we will store your information
The information provided on this form will be securely stored within The Hebe Foundation, partner (outlined above) and evaluation consultant databases. Your data will only be accessed by authorised personnel and authorised parties who are responsible for the maintenance and security of our digital systems. If any parts of this form are unclear or you are unable to complete it yourself, then please let us know and a different form can be provided for to be complete by you.
(Required.)
I have read and AGREE with the Terms and Conditions
I have read and DISAGREE with the Terms and Conditions