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Grad Recharge Sign Up Form
Please fill out this form to sign up for the Grad Recharge programme
* Indicates required question
Email
*
Your email
Confirm Email Address
*
Your answer
Full Name
*
Your answer
Phone Number
*
Your answer
Preferred Contact Method
Choose
Email
Phone
Text
WhatsApp
Postcode (Manchester City postcode only)
*
Your answer
Address (First line)
*
Your answer
Do you have the legal right to work in the UK? Please select the type of right to work you currently hold:
*
Spouse or partner visa
Asylum seeker with right to work
British citizen
Graduate visa
Settled or pre-settled status
I do not have the right to work (unfortunately you aren’t eligible for this programme)
Other (please specify)
Required
If 'Other' for right to work, please specify:
Your answer
Gender / Gender identity
Choose
Female
Male
Non-binary
Prefer not to say
Other (please specify)
If 'Other' for gender, please specify:
Your answer
Ethnicity
*
Choose
White
Asian or Asian British
Black, African, Caribbean or Black British
Mixed or Multiple ethnic groups
Other ethnic group
Prefer not to say
Date of Birth
*
MM
/
DD
/
YYYY
Have you experienced any of the following in the past 12 months that have affected your personal wellbeing, access to opportunities or ability to progress?
*
Mental health or wellbeing challenges
Neurodivergence (e.g. ADHD, autism, dyslexia etc.)
Discrimination or barriers due to background, identity or personal circumstances
No, none of the above
Something else
Prefer not to say
Other:
Required
If 'Other', please specify:
Your answer
I confirm I am a graduate of a STEM degree.
*
I confirm I am a graduate of a STEM degree
Required
My degree is in:
Your answer
I confirm I am not currently economically active. I understand this means that I have been out-of-work for four weeks and and not available to start work in the next two weeks
Eligibility Note:
To qualify for this programme, you must not be in any form of employment. This includes full-time and part-time roles.
*
I confirm I am not currently economically active.
Required
I confirm I am not currently taking part in any other funded programmes.
*
I confirm I am not currently taking part in any other funded programmes.
Required
I confirm that I am currently a resident within the Manchester City Council local authority area. (We will verify your postcode to confirm eligibility)
*
I confirm I am currently a resident within the Manchester City Council local authority area.
Required
I have experienced mental health and/or wellbeing challenges in the past 12 months (self-identified).
*
I have experienced mental health and/or wellbeing challenges in the past 12 months (self-identified).
Required
How did you hear about the Grad Recharge programme?
Choose
Referral Partner
Jobcentre
Social Media
University
Employer
Other
If 'Other' for how you heard about us, please specify:
Your answer
I consent to my data being stored and shared with Manchester Digital and its delivery and evaluation partners for the purposes of programme delivery and impact evaluation and aligned to the UK Government Funding retention requirements.
I consent to my data being stored and shared with Manchester Digital and its delivery and evaluation partners for the purposes of programme delivery and impact evaluation and aligned to the UK Government Funding retention requirements.
https://www.manchesterdigital.com/privacy
I am not from Manchester but would like to be considered for this programme if expanded into other areas of Greater Manchester.
I am not from Manchester but would like to be considered for this programme if expanded into other areas of Greater Manchester.
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