In completing this from you are expressing an interest in being involved in Challenging Conversations training delivered by Voluntary Action Leeds. Your details will be held on a database for this purpose and we will not send you information about other programmes and services simply because you are on this list. We mayuse some anonymous data to update funders but we will not share your personal information with third parties. We will write to you at least once a year to check that your details are correct. For further information about how we manage your data please contact us on 0113 297 7920 or info@val.org.uk

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* 1. Name of organisation

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* 2. Trainee Name (no.1)

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* 3. Role in organisation

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* 4. Trainee Name (no.2)

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* 5. Role in organisation

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* 6. Email address:

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* 7. Contact Telephone Number

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* 8. Tell us about the work that you currently do with young people

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* 9. Where in Leeds do you work?

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* 10. The main reason we would like to attend...

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* 11. Please tell us ...

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