Ask Me Community Ambassador Training - Application Form

Intro & About You

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

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.

To understand how we might use your data, please see our Privacy & Cookies Policy.

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

Yes

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* 2. Full name

Ask Me Community Ambassador Training - Application Form

Intro & About You

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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