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Matariki 3 Day Project JUNE 10th, 11th, 12th
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Email
*
Your email
Full name
*
Your answer
Preferred name/nickname and age
Your answer
Contact phone number / mobile
Your answer
Are you free to attend the programme from 10 am-2:30 pm on Tuesday 25th, Wednesday 26th and Thursday 27th February 2025?
*
Yes
No
Have you had experience in the justice system (i.e., Have you served/are you currently serving a sentence)?
*
Yes
No
What is your probation officer's name (if you have one)?
*
Your answer
What is your ethnicity/ethnicities? (include iwi if applicable)
*
Your answer
Have you worked with Home Ground before? Choose all that apply
*
Community Workshop
Prison Workshop
Other
No
Required
Other than Home Ground, have you ever done an art project before? If you have, please give a brief description of the project
*
Your answer
Do you have a favourite type of art? (e.g., music, dance, carving, weaving, writing, poetry)
Your answer
What is your main reason for signing up with Home Ground?
Your answer
What do you hope to achieve by participating in this project?
Your answer
Do you have any mental health concerns that we need to be aware of?
Your answer
We provide lunch during the workshops.
Do you have any medical or allergy concerns?
Your answer
Are you working with any reintegration services right now? (e.g., Salvation Army, PARS)
Your answer
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 you
Your answer
Would you like support with learning? (e.g., reading, writing, comprehension, communication) If so, please let us know how we can help
Your answer
Is there anything that might prevent you from attending all three days?
Transport
Child care
Medical
Other
No
Is there anything else you would like us to know?
Your answer
Do you mind if we include your age and ethnicity as part of a group in Home Ground reports? We may also use photos and quotes from the project. We will never use anything that can identify you. Please tick one.
Yes, this is okay
No, don't use my info
I'm not sure, I want to ask some questions first
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