The Young Manchester Movement Form
Want to Know What's Going on At Young Manchester and Get Involved? Amazing! We currently have two ways to keep in touch. 1- If you just want to stay informed of upcoming workshops, consultations, and other opportunities, fill out your details below and we'll put you on our mailing list 2- If you want to get more involved with Young Manchester and develop your skills, join our ambassador network! The Ambassador Network is all about giving you the tools and support to explore your potential, develop your skills, and take the lead. It’s a clear, step-by-step pathway that helps you work toward your personal and professional goals, while also making a real difference as part of Young Manchester’s mission. The Ambassador Network offers young people a flexible, ongoing opportunity to get involved whenever it suits them. So, there are different levels of engagement - to ensure that there is something for everyone. This is your chance to get involved, grow, and shine in your community.
1. I am...
A Young Person Wanting to Keep Up to Date on Opportunities with Young Manchester
A Young Person Wanting to Join the Ambassador Network
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Personal Information
2a. First Name
3a. Last Name
4a. Pronouns
5a. Preferred Name / Nickname (if any)
6a. Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
7a. Email
example@example.com
8a. Phone Number
9a. Address
10a. Borough
Please Select
Bolton
Bury
Manchester
Oldham
Rochdale
Salford
Stockport
Tameside
Trafford
Wigan
Submit
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Personal Information
2. First Name
*
3. Last Name
*
4. Pronouns
*
5. Preferred Name / Nickname (if any)
*
6. Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
7. Email
example@example.com
8. Phone number
*
9. Address
*
10. Borough
Please Select
Bolton
Bury
Manchester
Oldham
Rochdale
Salford
Stockport
Tameside
Trafford
Wigan
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Experience
10. Have you previously been an ambassador or worked on a project with us in the past?
*
Yes
No
11. If yes, when were you an ambassador OR what was the project we worked with you on?
12. How did you hear about the ambassador network?
*
12. How did you hear about the ambassador network?
Another Ambassador (a friend)
Social Media
Attending an Event
Other
13. Why do you want to join the ambassador network? (Please note: there is no right answer and you will not be judged on your response)
*
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Emergency Contact
Note: If you are under 18, your emergency contact will be contacted for consent.
14. Emergency Contact First Name
*
15. Emergency Contact Last Name
*
16. Emergency Contact Phone Number
*
17. Emergency Contact Email Address
example@example.com
18. Relationship to You (E.g. Mother/Father/Friend)
19. Please confirm that a parent / guardian has been made aware that you have registered your interest and will be contacted to discuss this opportunity.
*
I can confirm I have informed a parent or guardian
I have not made my parent or guardian aware and understand this may mean I am not contacted to discuss my involvement
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Requirements
Please let us know any accessibility notes including any medical issues we should know about, dietary requirements or anything else you want us to bear in mind
20. Do we need to know about allergies or food requirements? Do you have any medical issues we should know about? Any other access needs? (if yes, please provide details below).
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Communications
You will automatically be added to the mailing list, this is how we send out opportunities. However, we also have other ways to be a part of the ambassador community!
Do you want to be added to the Ambassador Whatsapp group?
Yes
No
Do you want to be added to the Ambassador Instagram group? (youngmcr.voices)
Yes
No
If yes, what is your instagram handle?
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Consent Information for Participants:
Young Manchester aims to provide a safe and enjoyable experience for every child or young person:
21. All questions on the consent form must be completed and signed by you before taking part. You must notify us of any changes to the information given on the form. We cannot take responsibility for any damaged clothing and/or personal items during the activity. I agree to (please tick)
*
Taking part in the stated activity
Talk to a Young Manchester staff member if I am not comfortable at any time during the activity so they can support me
Young Manchester keeping a record of this form for health and safety reasons
Receiving any emergency medical treatment that I may need
I understand that I need to follow the behaviour code and any safety rules so that Young Manchester can keep me and other children and young people safe.
22. Are you happy for Young Manchester will use images of myself in video recordings, and/or photographs, for use in marketing and publicity, including but not limited to: social media, publications, website and elsewhere?
*
Yes
No
30. Final Consent- Print Name
*
31. Consent by saying "I agree"
*
Young Person Contact Organisation Record ID
Emergency Contact Organisation Record ID
Submit
Should be Empty: