Change Champions - Get Involved Survey

Thanks for your interest in the Change Champions Programme. Please tell us a little bit more about yourself / organisation and a member of our team will be in touch soon.

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* 1. Your name

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* 2. Your organisation (if applicable)

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* 3. Your contact details

Telephone

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* 4. Do you have a specific are of expertise /interest based on one of the five key themes being tackled by the Change Champions Project

Mental Health

Youth Violence

Employment

Inequalities

Physical Activity

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* 5. Please give us an indication of the type of involvement you would like to offer

Services / expertise in one of the key needs

Funding

Attending one of the cross-sector workshops

Training

Other (please specify)