Youth Empowerment Board registration form

Hello,

Thank you for your interest in the Youth Empowerment Board. Please complete this form and we will be in touch. If you have any questions or want further information, please contact: fintan.tynan.co.uk

We look forward to meeting you soon!

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* 1. Name

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* 2. Telephone number

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* 3. Email address

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* 4. Full address (with postcode)

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* 5. Date of birth

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* 6. School / college

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* 7. Tell us why you want to join the Youth Empowerment Board

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* 8. Are you happy to join the YEB WhatsApp Group? Note: your number will be visible to the other YEB members

Yes

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* 9. I confirm (tick √)

I want to join the Youth Empowerment Board

I have read the Youth Empowerment Board Values

I am committed to the Values of the Youth Empowerment Board

I commit to attend all Youth Empowerment Board Meetings unless I have a valid reason for not attending

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* 10. Signature

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* 11. Please note: your personal data is being collected for record keeping purposes, and will not be shared with third parties outside of Poplar HARCA.

A privacy notice is on the Poplar HARCA website, explaining in greater detail what we will and will not use your data for.

Please confirm that you have read, agreed to the privacy notice by ticking here

Youth Empowerment Board registration form

Question Title

* 1. Name

Question Title

* 2. Telephone number

Question Title

* 3. Email address

Question Title

* 4. Full address (with postcode)

Question Title

* 5. Date of birth

Question Title

* 6. School / college

Question Title

* 7. Tell us why you want to join the Youth Empowerment Board

Question Title

* 8. Are you happy to join the YEB WhatsApp Group? Note: your number will be visible to the other YEB members

Question Title

* 9. I confirm (tick √)

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* 10. Signature

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* 11. Please note: your personal data is being collected for record keeping purposes, and will not be shared with third parties outside of Poplar HARCA. A privacy notice is on the Poplar HARCA website, explaining in greater detail what we will and will not use your data for.

* 11. Please note: your personal data is being collected for record keeping purposes, and will not be shared with third parties outside of Poplar HARCA.

A privacy notice is on the Poplar HARCA website, explaining in greater detail what we will and will not use your data for.