Thirty (Education) - Application for Participation

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Please complete this form to apply to participate in the Education: Towards a system that works for everyone Thirty. The deadline for the submission of applications is 1st February 2023.

Email *

Name *

Address (including postcode) *

Age *

I am over the age of 18.

I am under 18.

Required

I am able to commit to the full programme of activities for the Education: Towards a System that works for everyone Thirty:

Induction workshop - 8th February

Residential - 18th-19th February

Influencing workshop - 9th March

Yes, I can commit to those dates.

No, I am unable to commit to those dates.

Required

Can you please outline why you are interested in participating in the Education: Towards a System that works for everyone Thirty?
*

Gender - To assist with achieving targets agreed with our funders please select the gender that most accurately reflects you. *

Female

Male

Prefer not to say

Community background - To assist with achieving targets agreed with our funders please select the community background that most accurately reflects you.
*

Catholic/Nationalist/Republican

Protestant/Unionist/Loyalist

Other

Prefer not to say

A copy of your responses will be emailed to the address you provided.

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