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* 1. Murray Hall Community Trust in partnership with Good Things Foundation, West Midlands Combined Authority and UK Government are delivering FREE sessions to help individuals access the Internet. To check your eligibility please complete this form.

The information we are asking for is for monitoring purposes only and will be only shared with within our funders/partners in line with our privacy policy.

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* 2. Full Name

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* 3. Date of Birth

Date

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* 4. Home Address, including Postcode

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* 5. Email Address

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* 6. Contact Number

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* 7. Are you currently registered unemployed or on a zero hours contract? (Please note this does not exclude you from being able to enrol on this programme).

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* 8. Are you currently undertaking any other course to improve your digital skills supported through any other funding?

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* 9. Do you experience difficulty using the internet because you do not have your own device at home?

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