2024/25 Ark T Expression of Interest to Join a Project

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Please fill in the form below. You may need to look at the relevant project pages on the website to find out more information on each individual project. We will contact you when the application for the project is open, this can be at different times of the year.

Please note, responses are checked each Monday, apart from bank holidays and at times of staff sickness or leave. If your query is urgent please contact the relevant staff using the details on our website.

Name Of Child/Young Person/ Young adult *

Date of Birth of Child/Young Person/Young adult *

YYYY

Postcode *

What project/projects are you registering interest for? *

MySpace - Online Group for Emotionally Based School Avoidance (Ages 12-14): Wednesdays 4.15 - 6.15pm

Herpace Junior (Ages 6-11): Mondays 3:30 - 5:30 pm

Herspace Senior (Ages 12-17): Thursdays 4 - 6 pm

Youth Council (Ages 15-19): Monthly meetings (second Tuesday of the month) 4 - 6 pm

Creativity Camps: School Holidays

Required

Has the participant ever attended any other projects or sessions at Ark-T? If so, what?

Why do you/the young person want to take part? We encourage parents/carers to complete this together with young people under 16. Tick all that apply: *

Build confidence / self-esteem

Childhood trauma

Coping with difficult feelings

Experiencing bullying

Family Breakdown

Improve wellbeing

Learn new creative skills

Living with others who have Mental Health Issues

Loneliness

Making friends

Mental Health Issues

Prime Carers

Risk of Exclusion

School Refusers

Self-regulation

Social care involvment

Suffering a Bereavement

To explore who I am

To have fun

To help with my life by gaining advice and guidance

Have more leadership / opportunities to organise or help or teach others

To make a difference in my community

Other:

Required

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