Nature Heals Project Application Form

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Thanks for your interest in joining us on the Birds of Poole Harbour Nature Heals Project! We're looking for young people (16-25) to apply to join us for a series of free nature-based workshops in June and July 2022. These workshops focus on helping young people to build a positive relationship between nature and their mental health. We're therefore looking for applicants who would find our workshops beneficial to their mental health, and people who haven't had the opportunity to experience the nature on their doorstep before. We're looking for attendees to ideally join us on all of workshops, so that you get to experience a range of activities, from bird ringing to forest bathing.

Please complete this short form to apply for a place on the workshops. The extended deadline for applying is by midnight on Tuesday 31st May. We'll be in touch via email by the end of Wednesday 1st June to let you know whether you have received a place on our workshops and to send through further information. If you have any difficulties completing the form, we're happy to chat with you over the phone on weekdays from 9-5 and can be reached on 01202 641003.

Your Name: *

Your Age: *

Please note, we are currently only accepting applications from young people between the age of 16 and 25.

Please tick to confirm you are available to join us on all of the following dates: *

Saturday 4th June, 9am-1pm, based at Careys Secret Garden

Saturday 18th June, 9am-1pm, based at Careys Secret Garden

Sunday 3rd July, 9-11:30am, boat trip from Poole Quay

Required

Please tell us a bit about yourself and why you are interested in joining our workshops: *

Please tick to let us know which activities you have experienced before: *

Bird Ringing

Moth Trapping

Forest Bathing

Poole Harbour Boat Trip

Required

On a scale of 1-10, how well connected do you feel to the wildlife in your local area? *

Is there anything you feel has held you back from getting outdoors and connecting with nature in the past? *

I'm not very confident

Me/my family can’t really afford the cost of trips/days out in nature

I don’t really know what I can or can’t do in nature, so can feel a bit uncertain or unsafe

I don’t really know much about nature or wildlife or how it could benefit me

I have physical or learning disabilities or health conditions that makes it difficult for me

I have mental health conditions (e.g. anxiety, depression) that makes it difficult for me

It’s not something I’ve grown up doing, so isn’t something I’m comfortable with

There aren’t many opportunities to get outdoors or connect with nature near where I live

It’s not something that’s ever really interested me before

Other:

Required

Is there anything else that would be helpful for us to know about you? *

Please inform us if you have any disabilities or requirements that we should be aware of.

For our workshops based at Careys Secret Garden in Wareham, we're pleased to be able to offer free coach travel from Poole Quay. Please let us know whether you would require this service. *

Yes, I would require travel

No, I would make my own way there

Do you have any specific dietary requirements that we need to be aware of? *

Contact email address: *

Please provide your full postcode: *

This information is only collected to determine whether you fall within our catchment area and which areas the project is reaching. It will not be used to contact you.

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