Creative Pathways

Creative Pathways

With Natti 8th -12th August
Are you a young person applying for the course? *

Yes No
How did you hear about the course? *
Are you a referral organisation applying on behalf of the young person? *

Yes No
If yes, what organisation and what is your role? *
If no, put N/A
Can you authorise permission to share referral information?

Yes No
Name of young person *

First Name Last Name
This section should be completed by or with the young person
Date of birth *

Month Day Year
Date
Postcode *
Email *
example@example.com
Current Employment / Education: *

Full time employment Part time employment Full time education Part time education Registered unemployed Freelance Apprentice/trainee Other
If other, please specify *
Put N/A if not relevant
Ethnicity *
Why are you applying for the course? *
Can you confirm you can attend all the days 8-12th August 12 pm - 3 pm *

Yes No
Do you have any health conditions (includes mental health) we should know about?
Do you consider yourself to have a disability? Do you have any learning or access needs we should know about?
How can we help you get the most out of this course?
Do you give consent for us to share information with other organisations if we think it will benefit you? We will always tell you before we share. *

Yes No
Do you give us consent to take photos? *

Evidence for your certificate and documentation purposes For Social Media & marketing purpose
Should be Empty: