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Start Your Own Enterprise 
Delivered by Tree Shepherd in Partnership with the Walcot Foundation

Thank you for registering an interest in the Start Your Own Enterprise Programme.  It will involve business mentoring and advice, networking, and a 6-week course.  We will meet with you before enrolling on the programme to answer any queries and to see if this programme will work for you.

Please be aware that the questions on this form are mandatory so all questions with a * will need to be completed. This is a requirement from our funders, which enables us to deliver this programme for free. If you have any issues completing the form please contact - shaun@treeshepherd.org.uk and rhian@treeshepherd.org.uk

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* 1. First Name

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* 2. Surname

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* 3. Address

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* 4. Email Address

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* 5. Mobile Number

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* 6. NI Number

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* 7. What is your Gender? Please tick a box

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* 8. What is your age group? Please tick a box 

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* 9. What is your Ethnicity? Please tick a box

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* 10. Do you have a Disability/Learning Difficulty/Health Problem?

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* 11. If you asnwered Yes to the above question. Please choose from the following all that apply to you, otherwise go to the next question

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* 12. How many dependent Children do you have? (enter 0(zero) if you have none)

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* 13. What is your Highest level of qualification or education? Please tick a box

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* 14. Employment Status? Please tick a box

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* 15. Which Benefits do you receive? Please tick a box

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* 16. Length of unemployment? Please tick a box

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* 17. How did you hearabout us?

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* 18.
Declaration:  
 
I confirm that the information that I have provided is correct to the best of my knowledge and authorise Tree Shepherd and its partners to use my information for the above purposes. Your information will be securely destroyed after it is no longer required for these purposes.

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* 19. Privacy Notice – How We Use Your Personal Information

This privacy notice is issued by Tree Shepherd Limited. It is to inform you how their personal information will be used by Tree Shepherd Limited and its partners For the purposes of relevant data protection legislation, Tree Shepherd Limited is the data controller for personal data processed

The information supplied on this form will be retained securely by Tree Shepherd Limited and its partners

The personal information provided is used by Tree Shepherd Limited and its partners to create a personal business recorded within Tree Shepherd’s secure dataset. The information is used to support your participation on Start Your own Enterprise Course and for the provision of ongoing business support. The data may also be used for data analysis and research. This is to ensure the provision of high quality, inclusive, relevant service which supports achievement and progression, regardless of individual background, skills, knowledge, experience and support needs.

The information provided may be shared in anonymised form with third parties for businesses, training, (self) employment and well-being related purposes including for research. You will not be individually identified without prior consent. Your information will be securely destroyed after it is no longer required for these purposes.

At all times, sharing of your information will only take place where the law allows it and the sharing is in compliance with data protection legislation. You may change your preferences at any time.

Tree Shepherd Limited and its partners may use your contact details to let you know about business development opportunities, including clinics, events, trading, networking and business support opportunities.

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* 20. Further information about our data protection policy and procedures, including use of and access to your personal data are available at: info@treeshepherd.org.uk

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* 21. There are occasions when photographs of activities are taken for publicity and marketing purposes, and you can agree for your image to be taken by ticking the following box: □

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* 22. OFFICIAL USE ONLY

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