Personal Statement Writer's Workshop

Personal Statement Writer's Workshop

Thank you for your interest in the Statement Friday's Writer's Workshop! Please note, attendance at both sessions is required. If you are unable to attend the sequential sessions, please email Programme Coordinator Letitia Washington, at lrwashington@gov.bm.
Student Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Parent/Guardian Full Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Which school do you currently attend?*
What Year/Grade are you in?*
How did you hear about us?*
Please Specify*
Select which cohort you are able to attend. (If your preferred is not available, call to be added to the waitlist)*
What do you want to get out of the workshop?
I, First Name* Last Name* parent/guardian of First Name Last Name grant permission for The Mirrors Programme to take and use photos and/or video clips of my child when participating with activities with The Mirrors Programme for marketing purposes inclusive of publications, news release, print, online and other communications related to the mission of Mirrors. I agree I do not agree
PIPA Statement: Mirrors is a unit under the Department of Child and Family Services with a focus of prevention services. Mirrors runs multiple youth, parent, volunteer and adult programmes. We are committed to protecting the privacy and security of all personal information and operate in alignment with the Personal Information Protection Act 2016 (PIPA) and all relevant data protection laws of Bermuda.

If you have any specific questions or concerns, please don't hesitate to ask.

Contact us at 441 294-9291 or email Mirrors@gov.bm or Kimberley Jackson, Programme Manager kvjackson@gov.bm.
Participant Agreement & Signature I acknowledge that I have read, understood, and agree to the terms above.*

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