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

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* 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.

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