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Email
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Date
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Day
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Why do you want to join this programme and what do you hope to get out of it?
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Select Your Programme(s) of Interest from our Age-Specific Programmes
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☐ Ignite (Ages 12–16) – Discover your potential, grow in confidence, and start your leadership journey early.
☐ Elevate (Ages 17–25) – A transformational programme to help young adults rise, break barriers, and step into their future with courage.
☐ Impact (Ages 26–35) – Equipping emerging leaders and professionals with tools to influence change in their communities and careers.
☐ Restart (Ages 15–25) – Specially designed for young people facing challenges such as mental health struggles, anti-social behaviour, or leaving care, to help them refocus, rebuild, and thrive.
Where is your prefered location?
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London (Central)
Northampton (City Centre)
Milton-Keynes (City Centre)
Birmingham (City Centre)
Manchester (City Centre)
Virtual (Zoom)
Location Preference refers to a centre or city where you would like to attend your programme of choice. This is usually where you reside.
Appointment
Signature (if under 18, parent/guardian signature required):
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