Project Toru referral form

Kia ora!

Thanks for signing up for our Home Ground workshop 🙌😍✨😊 We're excited to have you join us!

Please fill out the referral form questions so we can confirm your spot on the workshop. The first couple questions are just to grab your contact info. The last questions are so we know how best we can welcome and support you. The personal info you give will stay private and not be shared outside of Home Ground. If you consent, images and your age and ethnicity may be used in reports, but only as part of a group, and never in a way that could identify you.

The project runs from 25 October - 11 November 2022 (three weeks).  If you have signed up to attend in-person, we will be together 9:30-2pm Tuesdays - Fridays for the three weeks. If you have signed up online, we will have a 10 - 11:30am, and 1-2pm video check-in Tuesdays - Fridays for the three weeks.

Address for in-person: The Remakery, 310 Waiwhetu Road, Fairfield, Lower Hutt 5011

Further info below if you want to know more: 😎😮👀


WHAT:

Three weeks of trying different art forms (drawing, painting, raranga, music, photography, dance, etc.) with different artists, in a beautiful community space, with other women. Lunch provided.


WHERE:

The Remakery

310 Waiwhetu Road

Fairfield

Lower Hutt  5011


WHEN:  

This project runs from 9:30-2pm 

Or 10-11:30am and then 1-2pm for online


WHO:

There will be 6-10 women on the course in-person, and 6-10 women online. The in-person course will be facilitated by Jacqui Moyes and Tana Pahina-Pohe, and the online course will be facilitated by Anna Wooles and Roseanne Leota.

HOW:

Day 1 will start with an introduction to Home Ground, and getting to know each other. After this we will have lunch at 12. In the afternoon we will do an art workshop. We finish at 2pm.

 After day 1, every day will start with a morning check in. Then we will do a workshop 10-12, then eat lunch. 12:30-2 we will do another workshop, and finish at 2pm.

Materials: Home Ground will provide all the art materials.

Dress comfortably, we provide food and hot drinks.


About Home Ground:

Home Ground is a creativity and wellbeing programme for women who are in the justice system. Each programme uses creative arts practice, such as theatre, photography, creative writing and music, as a non-threatening, strengths-based approach to self-empowerment, community connectedness and wellbeing.

For more information about Home Ground: www.homegroundnz.com 

Facebook: @Home-Ground

Instagram: @home_ground_poneke

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Are you signing up to join online, or in-person?
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What is your full name? *
What is your preferred name/nickname you'd like us to use?
What is your contact phone number? *
What is your email? *
What is your age? *
What is your ethnicity or ethnicities? (include Iwi if applicable) *
Have you had experience in the justice system?
Have you served / are you currently serving a sentence?
What is your probation officer's name? (If you have one)
Have you worked with Home Ground before? Choose all that apply
Other than Home Ground, have you ever done an art project before? If you have, please give a brief description of the project.
How did you hear about this project? 
Are you working with any reintegration services right now? (E.G Orongomai Marae, WOW, Salvation  Army, PARS)
Do you have any medical or allergy concerns?
Do you have any mental health concerns that we need to be aware of?
Do you have any special requirements? E.g. panic attacks, an anger management plan, if so, please let us know so that we can support any specific requirements.
Would you like support with learning? E.g. Reading, writing, comprehension, communication, if so,  please let us know how we can help.
Is there anything that might prevent you from attending every day? E.g. a medical, legal or access issue.
Do you have regular access to the internet and email?
Is there anything else you would like us to know?
Do you mind if we include just your age and ethnicity as part of a group in Home Ground reports? Here is an example: "There were 10 women on the course, aged between 20-60. Five of the women identified as Māori, and five of the women identified as Pākehā." *
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