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General Membership - Registration of Interest
Our Youth Network creates an inclusive & safe space, allowing like-minded young people to connect with each other, with external support networks in Wales; sharing and learning from their experiences.
Our
member beneficiaries
are young people looking for access to:
A wealth of resources & opportunities to level up
Supportive online & offline network
Peer support through skills & knowledge sharing
Mentorship & coaching support, through our network of role models
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* Indicates required question
First name
*
Your answer
Last name
*
Your answer
Phone number
*
Your answer
Email
*
Your answer
Social media handles and/or website
*
Your answer
How old are you?
*
16-17
18-24
25-30
31 and over
What is your ethnic group? (Please choose one option that best describes your ethnic background)
*
English/Welsh/Scottish/Northern Irish/British
Irish
Gypsy or Irish Traveller
Any other white background, please describe
White and Black Caribbean
White and Black African
White and Asian
Any other Mixed / Multiple ethnic background, please describe
Indian
Pakistani
Bangladeshi
Chinese
Any other Asian background, please describe
Afican Yes
Caribbean
Any other Black / African / Caribbean background, please describe
Arab
Hispanic
Mediterranean
Other:
Please choose the option that describes you best.
*
Female
Male
Transgender
Gender nonconforming
Prefer not to answer
Other:
Do you identify as a person with a disability or are you a person with accessibility needs (as define by IDEA)? Select all that apply.
*
Specific Learning Disability (SLD)
Other health impairment
Autism Spectrum Disorder (ASD)
Emotional disturbance
Speech or language impairment
Visual impairment, including blindness
Deafness
Hearing impairment
Deaf-blindness
Orthopaedic impairment
Intellectual disability
Traumatic brain injury
Multiple disabilities
No disability
Other:
Required
Residence Status
*
British National Citizen
EU Settlement
Resident VISA Yes
Refugee
Asylum Seeker
Leave to Remain
Other:
Employment Status
*
Employed
Unemployed Yes
Self-Employed
Volunteer
Student
Other:
Where are you based?
*
Your answer
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