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MyVOYPIC Sign Up
MyVOYPIC is currently only open to young people up to 25 years old who have lived experience of care and who live in (or are from) Northern Ireland.
If you are unsure if you can join, please contact us (028 9024 4888 /
info@voypic.org
)
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Prefer not to say
What pronouns would you like us to use for you?
*
He/Him
She/Her
They/Them
Other:
Mobile number
*
Your answer
Email address
*
Your answer
Address - with postcode (This is the address we will send your sign up gift and birthday cards to - Remember to let us know if your address changes)
*
Your answer
What Trust area do you live in?
*
Belfast
Northern
South Eastern
Southern
Western
What is the name of your social worker/personal advisor? (Just write not sure if you don't know)
*
Your answer
Which of these best describes you?
*
I am in care
I am under 18 and used to be in care
I am over 18 and used to be in care
Other:
Do you have a VOYPIC worker?
*
Yes
No
If you have a VOYPIC worker, what is their name?
Your answer
Do you consider yourself to have a disability?
*
Yes
No
Prefer not to say
If you do need extra support, please let us know how we can help
Your answer
How did you hear about MyVOYPIC?
*
Your answer
To complete your sign up, please check the box to confirm you have read our Privacy Statement (
https://www.voypic.org/wp-content/uploads/2020/10/Privacy-statement.pdf
). If you need any more information please email
info@voypic.org
*
I have read and understood the Privacy Statement
Required
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