Black Boys Can Be (BBCB) Project Application Form

Application for the BBCB project

Enrolling onto the BBCB Project: January to March 2021.

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* 1. Your name and Age

Full name:

Age:

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* 2. What borough do you live in?

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* 3. Would you be interested in doing a Level 2 qualification?

Yes

No

Not sure, I would like further information.

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* 4. Would you be interested in attending our workshops on Discrimination, Knowing your Rights if Arrested or Stopped and Searched, How to make Money online through music and social media?

Yes

No

Other (please specify)

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* 5. Would you like to have access to a Mentor?

Yes

No

Not sure as yet

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* 6. What is your email address and mobile phone number?

Email address:

Mobile number:

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* 7. Where did you hear about this programme?

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* 8. What days are you available to meet for sessions online?

Monday

Tuesday

Wednesday

Thursday

Friday

Week-ends

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* 9. What time is better for you to meet?

Mornings

Afternoons

Evenings

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* 10. Do you have access to a Laptop, computer or smart phone?

Yes

No