BIRMINGHAM PARENT CARER FORUM
PARENT CARER REPRESENTATIVE APPLICATION FORM
This form is for those parent carers who wish to apply for the voluntary role of Parent Carer Representative with BPCF. Please answer the questions below as fully as you can. If completing a paper application please attach additional information as needed.
Full Name *
Your answer
Address *
Your answer
Email Address *
Your answer
Telephone / Mobile Number *
Your answer
To be a Parent Carer Representative you need to have a child/Young Person under the age of 25 with SEND - please state your child/YP age and needs *
Your answer
Why do you want to be a Parent Carer Representative? *
Your answer
What skills and experience would you bring to the role? *
Your answer
What areas are you passionate about (e.g. transport, school exclusions etc.)? *
Your answer
How much time are you able to commit to the role as a Parent Carer Representative? *
Your answer
Do you speak any additional languages? If so, which ones? *
Your answer
What geographical area of Birmingham are you able to cover? *
Your answer
Is there any other information you would like to add, or questions you'd like to ask?
Your answer
Birmingham Parent Carer Forum will use the information you provide on this form to consider and get in touch with you regarding your application. Please tick the box below to indicate your preferred contact method(s). *
Required
You can change your mind at any time and request that we remove your information from our database by emailing us at info@birminghampcf.org. We will treat your information with respect and it will remain within BPCF Management Committee and its staff. For more information about our privacy practices please visit our website at www.birminghampcf.org . By clicking below, you agree that we may process your information in accordance with these terms. *
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