Facilitator Form Question Title * 1. What is your first name? Question Title * 2. What is your last name? Question Title * 3. Write down your address Question Title * 4. Write down your email address Question Title * 5. Write down your prefered contact phone number Question Title * 6. What is your ethnicity? White White Irish Any other White background White and Black Caribbean White and Black African White and Asian Any other Mixed or Multiple ethnic background Indian Pakistani Bangladeshi Chinese Any other Asian background Black African Black Caribbean Any other Black, African or Caribbean background Arab Any other ethnic group Other (please specify) Question Title * 7. What is your gender Female Male Non-binary Other (please specify) Question Title * 8. Date of Birth Question Title * 9. Are you eligible to work in the UK? Yes No Question Title * 10. Do you have a valid DBS certificate? Yes No Question Title * 11. What geographical areas can you deliver in? Scotland Northern Ireland Wales North East North West Yorkshire and the Humber West Midlands East Midlands South West South East East of England Greater London Question Title * 12. What is your definition of a workshop facilitator? Question Title * 13. What key elements are needed in a presentation/workshop to inspire young people? (give a minimum of 3 suggestions) Question Title * 14. Have you ever delivered a presentation or talk to a large group of people? If so, please tell us more about it and how that experience was for you? Question Title * 15. Why do you think personal development sessions are beneficial for young people? Question Title * 16. Please upload your CV Please upload your CV as a PDF PDF file types only. Choose File Choose File No file chosen Remove File Please upload your CV as a PDF Done
