Lancashire Legacy Application Form

Note: Your privacy is very important to us. To better serve you, the form information you enter is recorded in real time.

Programme*

First name*

Last name*

Primary email address*

Confirm Primary email address *

Alternate email address

Mobile*

Nationality*

Country of residence*

City/town of residence*

How did you first hear about Common Purpose?*

Please state

Data Protection – using your data

If accepted as a participant on a Common Purpose programme, Common Purpose may store and use your data to send you information relating to your programme and to request feedback.

To see our full Privacy and Data Protection Policy, please visit http://commonpurpose.org/privacy-data-protection-policy

There may be photographs and videos taken at the Common Purpose programme or event listed above to be used for commercial, knowledge sharing and evaluation purposes. If you would prefer not to be included in these, please notify a Common Purpose staff member during your programme or via email at marketing@commonpurpose.org

During the programme

Common Purpose and Islamic Relief may publish photos, videos, quotes and testimonials of their participation in the Programme on their respective websites and social media, for commercial or promotional purposes and for the sharing of knowledge. This includes their name, job title, organization name and social media profile.

I am happy for Common Purpose to share my information with participants of my programme*

Yes, I opt in No, I opt out

I am happy for Islamic Relief to share my information with participants of my programme *

Yes, I opt in No, I opt out

After the programme

Successfully completing a Common Purpose programme means you become an alumnus and can opt in to receive our alumni only emails. The Common Purpose Alumni team will send you occasional email newsletters with the latest news, articles, exclusive alumni webinars and more.

I am happy for Common Purpose to send me alumni communications*

Yes, I opt in No, I opt out

Terms and conditions

I confirm that in signing this application I have read and understood the terms and conditions.

I understand that I have a commitment to attend the programme and that failure to do so may jeopardise my ability to graduate from the programme.

I have read and agree with the programme terms and conditions*

I agree

I will be between the age of 18-25 on the first day of the programme. *

I confirm

Position/Job Title*

(if you are studying or unemployed – write ‘studying’ or ‘unemployed’)

Organization name*

(if you are studying – write the name of your educational institution)

Social media handles

Tell us why you should be part of Lancashire Legacy.

You can choose to submit your answer in the form of a written answer, poetry, video or artwork.

Use the text box either to write your answer in a few sentences or supply a download link to a short video clip, piece of artwork, or poem (you can use services such as DropBox/WeTransfer etc).

Date*

Common Purpose is the data controller for the purposes of the EU General Data Protection Regulation 2018.

Except in connection with the activities described in the Privacy and Data Protection Policy or where required to do so by law, we will not disclose your data to third parties without your consent. Common Purpose takes all reasonable precautions to prevent the loss, misuse or alteration of your data. If you have queries relating to the use of your data, please email info@commonpurpose.org

We value diversity on our programmes and positively encourage applications from all sections of the community.