Syrcas Swnsh Application form

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Email *

A) About your organisation

Name of organisation

Type of organisation

school

charity

community group

Other:

Where is your school/organisation/community based?

How many people live in your town/village?

How many people are in the group looking to engage with the Syrcas Stwnsh programme?

What is the age of participants?

How would you like to run the programme with your group?

As a bubble- all participants will be working from their classroom, gym or a community hall.

Participants will be working separately from their own home.

Other:

Clear selection

B ) About your digital resources:

If your access to the internet and digital devices is limited, this doesn’t necessarily mean you can’t take part. Let us know what you would need to be able to participate, and we will explore if there are any ways we can support you.

What sort of device will you be using to run the Zoom session from? Tell us about the type of device (computer, laptop, tablet) and its quality (good, medium, poor).

If working from homes: will you be able to ensure access to a device for each of the participants? YES/NO If NO, please provide details:

What is the internet connection at your organocation/town/village?

Good

Medium

Poor

Clear selection

C) About specific learning outcomes:

What are the main objectives for your group’s engagement?

To learn circus skills

To practice/improve Welsh language

To engage, in a safe way, with the extracurricular activities outside of our usual scope during a local lockdown

To improve wellbeing of kids/young people

Other:

What is the Welsh language level of the group?

Fluent

Advanced

Intermediate

Beginner

Any other comments? (optional) You could use this space to tell us more about how your organisation/community might benefit from the programme or if there are any reasonable adjustments that we might need to consider when working with you.

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