The data you provide will only be used by the team at the Centre for Youth Impact to ensure we engage a range of organisations through the cohort work and can group them based on commonalities. The data you provide in this survey will not be shared with any third party. No individual organisational level information will be published.

Your answers can be approximate. If for any reason you cannot or do not wish to provide any information please leave the answer blank. This will not affect your participation in the cohort programme.

Many thanks for applying to take part. We are likely to follow up with a short phone call. If you have any questions please contact mary.mckaskill@youthimpact.uk

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* 1. What is the name of your organisation?

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* 2. How many part/full-time employees are there at your organisation?

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* 3. Which forms of provision do you offer? Please tick all that apply

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* 4. Do you offer detached and/or building based services? Tick all that apply

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* 5. Do you offer group and/or individual services? Tick all that apply

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* 6. Do you offer targeted and/ or universal services? Tick all that apply

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* 7. Do you offer structured and/or un-structured services?

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* 8. Which level of support needs does your organisation cater for? (by support needs we mean the level of support required by the people you work with). Tick all that apply

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* 9. What age profile does your organisation work with? Tick all that apply

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* 10. In what ways do you intentionally attend to high-quality relationships between staff and young people?

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* 11. Contact details

Thank you for completing this application. We will be in touch soon.

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