Lewisham Council Youth Hub Registration
 
A central hub for the youth providing high quality coaching and practical support so you can gain the skills and knowledge to achieve your employment goal.

To register for the Youth Hub Programme, please complete the form below as accurately as possible and tell us more about yourself and the support you are looking for by accessing the Hub.

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* 1. First Name

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* 2. Surname

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* 3. National Insurance Number

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* 4. Date of Birth

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* 5. Gender

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* 6. Do you have a disability?

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* 7. Address

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* 8. Postcode

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* 9. Telephone/ Mobile Number

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* 10. Email Address

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* 11. Please state your preferred method of contact:

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* 12. Ethnicity

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* 13. What best describes your current situation:

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* 14. Are you in receipt of any of the following benefits?

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* 15. Do any of the following apply to you:

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* 16. Is there any particular jobs/ careers support that you are interested in from the list below:

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* 17. Are there any specific sectors from the list below that you would like to work in:

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* 18. Information Sharing Consent

To help the DWP assess and improve the effectiveness of the Flexible Support Fund, we need your consent to supply your personal details to the DWP, and to allow the DWP to hold and use personal information about you so that the DWP can research into how successful the partnership is and what parts of the partnership work well. The information will be provided by London Borough of Lewisham and the DWP may match what you tell us to details they already hold about you.

Any details you give us will only be seen by the DWP research team and will only be used for research into this scheme. When the DWP write the research report no individual person or household will be identified. The DWP will comply with the Data Protection Act 1998. It will store your information in a secure place and destroy the records after they are no longer required for their research purposes. Any transfer of information will be by secure means.

The information we will share with the DWP is your name; date of birth; national insurance number; postcode and gender.

Declaration

  • I authorise London Borough of Lewisham to share the information listed above with The Department for Work and Pensions in connection with the evaluation of the Flexible Support Fund Community Budget Partnership Scheme.
  • I have read the information above and understand why London Borough of Lewisham is required to share information with the Department for Work and Pensions about the activity I have been offered on the Flexible Support Fund Community Budget Partnership, and I understand how that information will be used.
  • I understand that if I am in receipt of any benefits, my entitlement to those benefits will not be affected whether or not I choose to give consent.
  • I can confirm that all information provided on this registration form is accurate
  • I agree to receive regular updates on events and services from Lewisham Council

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* 19. PLEASE SIGN BELOW TO SUBMIT YOUR REGISTRATION FORM

Thank you for your time completing the Registration Form. A member of the Economy, Jobs and Partnerships Team will be in touch to progress your form.

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