• Rooted: Interest Form

    A nature-inspired leadership programme for young adults who want to build confidence, develop leadership skills and contribute to the communities they’re part of.

  • This form helps us get to know you a bit. Feel free to share what you feel comfortable with. This will help us put together a group that will work well together on the programme.

    In particular, we are keen to create space for people who are:

    • able to commit to all 4 sessions
    • from underrepresented groups in leadership
    • excited by nature-inspired leadership
    • are already attending, or are keen to start attending other Birch Collective sessions 

    This form is likely to take 5-10 minutes to complete.

    The form has the option to send written or voicenotes as answers, but if this format doesn't suit you, you can download the PDF version from our website to fill in by hand and send back.

    If you want to fill in this form in stages, click 'save' and carry on later.

    Please get in touch with Harri if you need any help: harri@thebirchcollective.co.uk

  • About You

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  • Date of Birth
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  • Have you joined a Birch Collective session before?
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  • Your motivations

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  • Tell us a little about why Rooted feels relevant to you

    Why are you interested in joining Rooted, and what would you most like to gain from taking part? We're interested in your feelings about leadership, your passion for making change in the communities you're part of. Whatever you feel like telling us that will help us get to know you and what you'd get from this programme.
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  • Which statement best describes how you currently feel about leadership?
  • What 3 topics are you most interested in? (This will help tailor the programme to the topics you are most passionate about).
  • What sessions would you be able to attend?

  • More about You

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    We want Rooted to be as welcoming and representative as possible. We are prioritising places for people who are under-represented in nature and wellbeing spaces, and we want to understand and meet people's needs as best we can. 

    Therefore here we ask some more personal questions about you, your identities and needs. 

    All questions are optional - please bear in mind that some questions give you the opportunity to share more about your needs so we can ensure we’re able to support you during the programme.

    All information you share will be kept confidential by The Birch Collective.

  • I identify as Black, Asian, or from another racialised or ethnic minority group
  • I am D/deaf, disabled, or have a long-term physical or sensory health condition
  • I consider myself to be affected by mental or emotional ill health
  • I am neurodivergent (e.g. autistic, ADHD, dyslexic)
  • I am part of the LGBTQIA+ community
  • I come from a working-class or low-income background
  • I have religious or cultural needs that are not always accommodated
  • I am a refugee or asylum seeker
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