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Application / Referral Form

If you or a a girl or woman that you know would benefit from our support, please fill in this form.

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Sign-Up for the Inspiring Futures Academy

Use this form to sign up for mentorship, workshops, work experience, or access to online self-development materials. The Inspiring Futures Academy is for women aged 16 and above.
Our Inspiring Futures Academy is a free service for women 16 and older. We help you build confidence, learn job skills, become more independent, and find work. We offer three main services: mentorship, workshops, learning resources and work experience opportunities. Sign up for any or all using the form below.

Filling in this Form

To complete the form, we’ll need your email address and some basic information to contact you. We’ll also ask for a bit about yourself so we can better understand your needs and provide the right support.
Academies - Application Form 2
1. Are you completing this form for yourself or on behalf of someone else? *

To be completed by the applicant:

Filling in this form

To complete the form, we'll need your email address and some basic information to contact you. We'll also ask for a bit about yourself so we can better understand your needs and provide the right support.

Name
Name
First
Last
Which services would you like to use? *
Please tick all that apply
What do you want help with? *
Tell us how we can help you at the moment. Our services are flexible and tailored to your needs. Please tick all that apply.
Which of these best describes you? *
Please tick all that apply.
How did you find us? *

We look forward to supporting you on your journey to a brighter future!

To be completed by referring partner/ by someone on behalf of the beneficiary:

Your relationship to the beneficiary/ the person you are completing this form on behalf of:
what are they studying? What are their future education plans?
What qualifications has the beneficiary earned?
What work experience does the beneficiary have?*
What are the candidate’s strengths and their interests and hobbies?
What are the areas the beneficiary like to develop and learn about?
What type of work experience placements would the beneficiary like us to find for them?
37. Do they need to attend with a parent / carer? *
38. What technology do they have access to? *
Select as many as suitable of:
39. What computer skills do they have? *
Select as many as suitable of:
What type of work experience placements would the beneficiary like us to find for them?
41. Do they need to attend with a parent / carer? *
Can you tell us more about the candidate’s personality and social skills?
Can you provide some background information to help us fully understand the candidate's needs (family situation, current living arrangements, difficulties, etc.)
What else should the team be aware of?

IMPORTANT COMMUNICATION AUTHORISATION

To ensure that we follow the right protocols, please confirm if the Inspiring Leadership Trust (ILT) can communicate with the applicant directly regarding their programme.

Authorisation *

To be completed by referring partner/ by someone on behalf of the beneficiaries:

Your relationship to the beneficiary/ the person you are completing this form on behalf of:

IMPORTANT COMMUNICATION AUTHORISATION

To ensure that we follow the right protocols, please confirm if the Inspiring Leadership Trust (ILT) can communicate with the applicants directly regarding their programme.

Authorisation *

Candidate names and details

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