Intro & About You

Please complete the following form to apply to attend the Change That Lasts Ask Me training in Borehamwood.

THIS IS A THREE-PART EVENING TRAINING, ON WEDNESDAYS 11TH, 18TH & 25TH MARCH, 5.30-9.30. 

PLEASE NOTE YOU WILL NEED TO ATTEND ALL THREE EVENINGS.

We can help you fill in the form or complete it over the phone if you are unsure or need any support - email me lee@jwa.org.uk.

Please answer all questions. If you think some parts do not apply to you, or you are not comfortable sharing this information, write N/A in the spaces provided for your answer.

The information you give here will be used for the purposes of reporting on and evaluating this training, both by Jewish Women’s Aid (JWA) and by Women’s Aid Federation England (WAFE). Participants’ comments, actions and feedback may be used anonymously for evaluation purposes, promotional purposes (incl. website, training posters or Ask Me newsletters), quoted in external reports and other publications including online content, media work, and reports for funders. Your responses will be used to help build up an overall picture of the project outcomes, successes and barriers. The results may be published but participants will not be identifiable. All information will be kept confidential, anonymised and analysed collectively. This means it will not be possible to identify any personal details or any one person from any information you provide. Because the information is anonymous, we won’t be able to identify it and withdraw it once you’ve submitted it.

You can read about JWA’s Privacy Policy here Privacy & Cookies Policy. To understand more about how WAFE will use personal/project data please read their Privacy Policy: https://www.womensaid.org.uk/privacy-cookie-policy/.

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* 1. I consent to my information being used for evaluation purposes

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* 2. Full name

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* 3. Town/city

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* 4. Postcode

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* 5. Contact number

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* 6. Date of birth

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* 7. Email address

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