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Please complete all questions in this survey - this is the information we need in order to make an application on your behalf.  We will also need to gather information which supports the essential criteria and will contact you for this separately.  Please complete this survey no later than 14 October 2020. 

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* 1. What is the registered name of your organisation?

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* 2. What is your postal address and postcode?

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* 3. What is your Charity Commission or Companies House registration number?

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* 4. In order to be eligible for funding the roles you are providing must meet each of the following criteria.  Please confirm this is the case by ticking each box. 

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* 5. Who is the lead person for your organisation?  This is the person we will keep in contact with.  Please give us their name, position, phone number and email address.

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* 6. How many roles would you like to offer in your organisation?

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* 7. What are the Job Titles of your roles?

Please give the Job Title for all roles your organisation is offering.

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* 10. If no, when will the Job Descriptions be ready?

Date

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* 11. Where will your Kickstart Scheme job placements be based?

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* 13. Do you have any questions about the scheme?  Let us know and we will get back to you asap.

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