Request edit access
FLOURISH Session - Omagh Library, Tuesday 13th October, 10-1pm
Please fill out the form below to register for the FLOURISH programme. This is a free workshop, and will be the first of three sessions delivered in your area over the next twelve months. 

NB: You must be over 18 to register for this event. Any under 18s must be supervised by an adult.

Please fill out the short monitoring form below. This data is confidential and will only be used for research purposes. 

If you have any questions about the workshop, please do not hesitate to get in touch with us at flourish@ulster.ac.uk or 02895367796

Follow www.ulster.ac.uk/flourish or our Facebook Page (FLOURISH - Framing the Legacy of our Irish and Scottish Heritage) for updates on the project.

Venue Address: 1 Spillars Place, Irishtown Road, Omagh BT78 1HL
Sign in to Google to save your progress. Learn more
Email *
Name  *
Phone number *
Age Range *
Home Post Code (first half only, e.g. BT1, BT19) *
Religious/Community Background (Tick the box which best describes your background) *
Gender Identity (Tick the box that applies) *
How would you describe your national identity? (Tick all that apply) *
Required
What qualifications, if any, do you have? (Tick all that apply) *
Required
If you selected NVQ level 1-4 I the previous question, please specify level below:
Have you worked, lived or studied in any of the following places? (Tick all that apply) *
Required
Light refreshments will be provided during the workshop. Have you any specific dietary requirements or allergies? *
Photos may be taken at this event. Please let us know if you would like to opt out of photos. Photos may be used for online promotion and project reporting. *
If you have any access requirements, please let us know here. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of An Gaelaras.

Does this form look suspicious? Report