ELREC: Open Arms, Champions of Health- 2023-2026- Edinburgh Service users Registration Form
Service registration form
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Email *
Open Arms - ELREC
First and second name: *
What is your ethnicity? *
How old are you?
I live .. *
What is your employment status? (Note, unemployed means someone who doesn't have a job and is not looking for one either) *
Are you or your husband/partner in receipt of any of the following benefits? (please check as many as apply) *
Required
What is your address? *
What is your phone number? *
How did you hear about the Open Arms service? *
What is/are the reasons that you want to join Open Arms group (please choose as many as apply to you) *
Required
What Open Arms activities you are interested to participate in (please choose as many as applies) *
Required
Some of the classes are provided online. What type of electronic device do you have access to at home? *
Required
In order to take part in activities, you need to be a member of a closed group created for the project on WhatsApp. Do you agree with your name and phone number be added to this group (this means the others in the group can see your name and phone number) *
From time to time; we may take photos and screenshots of the project activities and use it for the evaluation and promotion purposes. Do you agree for photos that you are in them to be used and shared for the above mentioned purposes? *
Do you have any particular need in order to be able to use our service? please explain. *
How many children (17 years and under) live in your household? *
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