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* 1. First Name

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* 2. Last Name

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* 3. Gender

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* 4. Email Address

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* 5. Phone Number

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* 6. Date of Birth

Date

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* 7. Please describe your race/ethnicity.

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* 8. Address:

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* 9. Are you, or have you ever been, a student at a Peter Jones Enterprise Academy?

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* 10. If yes, which year did you graduate or will you be graduating?

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* 11. Which of the following best describes you?

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* 12. Why would you like to join the Peter Jones Foundation Youth Panel?

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* 13. What experience and skills can you bring to the Youth Panel?

The PJF Privacy Policy is available here; all applications for this role will be treated in accordance with this policy.
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