Return Ready Registration Form

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7th November 2022 - 2nd December 2022

Name *

Are you providing unpaid care for a family member with additional needs? (Carers allowance is accepted) *

Yes

Other:

Facebook name if different

Home Address. Please Include Eircode *

Email Address (If you do not have an email address we can contact you via telephone)

Telephone Number *

What is your gender? *

Male

Female

Non-binary

Prefer not to say

Other:

Required

Age Range *

18 - 24

25 - 34

35 - 44

45 - 54

55 or older

Prefer not to say

Please choose an option which best describes your computer and technology skills. *

Complete beginner

Basic knowledge of computers and technology

Intermediate knowledge of computers and technology

Above average knowledge of computers and technology

Advanced knowledge of computers and technology

Please choose which option(s) best describes what you would like to gain from this project. *

To enhance my CV with a view to returning to paid employment

To gain knowledge and resources for becoming self-employed

To gain computer skills for obtaining remote work

To gain confidence in using computers and modern technology

To prepare myself for undertaking further training or education

To meet new people and have some social contact

Other:

Required

Can you commit a minimum of 2.5 hours per week to the project? *

Yes, definitely

Probably, but it will depend on the days

Not currently

We can cover replacement care costs if you need these in order to participate. Do you need to avail of this option? *

Yes

Maybe

It is important for us to understand if this project is making the difference that we expect it to. You will be required to complete a short survey at the end of this project. A random sample of participants will also be invited to a one-hour focus group at some point in 2022. Are you happy to proceed with participation? *

Yes

Your personal details will only be used for the purposes of this project, will never be shared outside of our organisation and will be deleted from our systems upon completion of this project. Are you happy to proceed with participation? *

Yes

Is there anything else we should know?

Submit

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