Our Place application

Your details
Creative idea details
Budget
Champion
Declaration

Read the project description and FAQ.

Your details

First name

Last name

Residential address

Post code

Date of birth

Young person's phone number (if over 18)

Young person's email (if over 18)

If you are under 18:

Trusted adult's phone number

Trusted adult's email

Trusted adult's relationship to you

Name of school, university, or education institute if applicable

Do you live or learn in Hammersmith & Fulham?

LiveLearnBothNoneOther

Do you have any access requirements you would like to make us aware of?

This could be details of a disability, or any adjustments we could make to support you.

Do we have permission to take photographs/videos of you during the course for the purposes of promoting and evaluating Our Place?Yes, I am 18+ and have read and understand the conditions and consent to my participation as describedYes, I am under 18 and my parent/guardian has read and understood the conditions and consent to my participation as describedNo, I do not consent

If you are under 18, please confirm you have filled in this form either with a Trusted Adult or Champion

YesNoI am an adult

Where did you hear about this opportunity?

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