#Me Sign Up Course 2
We're so glad you wish to meet with fellow students and improve your mental wellbeing, self-awareness and emotional resilience in a safe, supportive environment. These peer support groups provide the opportunity to relate with students on a similar journey, share experiences, receive support, consider healthy coping strategies and exercises over a 12 week period.

We aim to have 6 students in each group plus 2 fellow students facilitating. Your group will meet once a week for an hour either in person or virtually. You'll be given practical resources and tips throughout the course. Please fill in the form below so we can better understand you and your needs, and allocate the most suitable group for you.

All of the sensitive information you provide will remain confidential and only be used for the purpose of contacting you / finding a group we feel would most suit your needs, or for safeguarding purposes if we believe your welfare is at risk. It is right to be careful with sharing your personal information but when you give information about your age, degree, challenges, gender identity, etc. on this form, you can be sure that it will only be used to allocate you to the most suitable peer group and to make our 12-week course and resources better by establishing an evidence base for activities, policies and practice. By improving the declaration rates of diversity information, we can make better decisions to support all students. Changes need data after all! Please feel free to contact us (info@hashtagme.com) if you have any further questions. 

We'll be in touch as soon as possible with further information about your allocated peer group.

*** The form will take you around 10-15 minutes to fill in but you'll be pleased to know it's the only one you'll need to do until the very end of the course! ***
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Email *
First Name *
Last Name *
Student ID *
We will use the data you have provided to make the necessary arrangements for you to participate in the #Me programme. Your information will be held securely and always managed in accordance with the Data Protection Act (2018). Please note that, as part of our evaluation activity, your student ID will be shared with Loughborough University. This will enable us to monitor participation in the #Me initiative by student characteristic and enable us to better tailor the service in the future. No other information that you provide will be shared. Your involvement in the initiative will be stored separately from your student record, and will be used for research purposes only. I provide consent for my student ID to be shared for monitoring purposes. *
Gender *
Date of birth *
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DD
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YYYY
Contact number (please provide your WhatsApp number) *
This will be used for your group's WhatsApp chat. If you do not currently have WhatsApp, please kindly download it so that your facilitators can easily communicate with you and add you to the group chat once groups have been formed
UNIVERSITY Email address (Please double check it's correct so we can contact you) *
Check your junk / spam folder and if you haven't heard from us within 2-3 days, please email us at info@hashtagme.com
PERSONAL Email address (Please double check it's correct so we can contact you) *
In some cases your University email will reject emails from #Me. If this happens we will communicate with you through your personal email address provided here
Which campus are you studying at? *
Which School are you in? *
Year of Study *
Which of the following is applicable to you? *
What are you hoping to gain from the course? *
Required
Do you frequently experience any of the following? *
Required
What are your interests and hobbies? *
Required
When considering an average 2 week period, do you currently feel that you have regular healthy exercises/habits that you do on a near to daily basis? *
The course will be offered both in person and online. Please indicate which you would be most comfortable with or if you do not have a preference. *
Which of the following time slots are you available? Please select as many as possible to help us allocate the most suitable group for you *
Required
Do you have a preference on the gender of your group? *
Groups are formed based on several factors, including gender however, if you would prefer to be in a mixed gender group please indicate this below.
Do you have a preference on whether peers in your group are from your School? *
Groups are formed based on several factors, including your area of study however, if you would prefer not to be with those on a similar course, please indicate this below.
Please indicate below if you have a disability or special circumstances which we need to take into consideration when allocating your group and meeting venue.
If you would like to be in a group alongside a friend, please name them here.
They will also need to name you and be available during the same time however, we cannot guarantee you will be in the same group together.
How did you hear about the #Me course? *
If you heard about this opportunity through a different channel such as an LSU society, AU team, W&D... please select other and provide details.
Required
We will have a collection point on campus for you to collect your individual logbook using safety precautions. Please indicate below whether you will be able to collect your logbook in person from the Loughborough Campus or if alternative arrangements need to be made. Either way, further details will be emailed to you soon. *
 Once you have received your logbook, it will become your responsibility and no-one else will handle it or ask to look at it.
Please provide your CURRENT address so we can deliver your logbook if necessary. First line of address
This will be used to deliver your resources if you're unable to collect them and will not shared with anyone outside of the #Me team except in the case of emergency safeguarding or welfare purposes.
Second line of address
Town/City
County / District
Postcode
Country
Please tick which of the following you have previously partaken in: *
Required
Please share anything else which you feel may be helpful
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