Expression of Interest to partner with Intentional Health.
Completing this form will simply be a catalyst to continuing a conversation...
If you would like to talk to us in person, please call us on 01208 815123
Please be aware, you may be eligible for grant funding to start you off!
Email address *
First Name *
person filling out this expression of interest
Your answer
Last Name *
person filling out this expression of interest
Your answer
Title *
of person filling out this Expression of Interest
Role of person filling out this expression of interest *
Eg Church leader, volunteer etc
Required
Contact phone number of person filling out this expression of interest *
By filling this in you are consenting for us to email, ring or text you in the future - please specify best time if helpful)
Your answer
I have 2-4 volunteers I'm thinking about who could facilitate Intentional Health and attend training. *
We require a minimum of 2 volunteers trained to deliver each programme (and up to 4 included for the same price). If you don't have people in mind right now, then perhaps expressing an interest might be a little soon. We don't mind working with churches in partnership together.
Required
I have 2-4 volunteers who would be happy to travel to Cornwall, or we would be happy to explore hosting training. *
Required
I am interested in training on the following dates for 2019. *
Please tick all that apply in case your first choice is full. Training usually takes place over 3 consecutive days, but there may be a time where day 3 can be delivered as a separate stand alone day.
Required
My church leader is in full approval of me running an Intentional Health programme *
If no, please send us an email to info@intentionalhealth.uk, telling us what there concerns are, or let us know where we can send you some information to help them understand more about the programme.
Required
First Name of Church Leader *
Your answer
Last Name of Church Leader *
Your answer
Title of Church Leader *
Name of church *
Please include full name of church
Your answer
Address of church *
Your answer
Postcode of church
Your answer
Denomination *
Please include denomination and apologies if the denomination appears in the church name
Any questions you would like answered?
Please feel free to use this space to ask us questions you have at this stage.
Your answer
Any other information we should know?
Please feel free to use this space to let us know anything else that would be useful! This could include dates you definitely can or cannot attend as well as if you would like to explore hosting training rather than travelling to Wadebridge.
Your answer
Consent for collecting and storing data *
We promise to store any data you share securely and will not pass this on to any third parties. Please check the box below to let us know that you are happy with this, and please contact us directly if you would like this information to be removed at any time. For full details of our Data Privacy Policy see https://www.intentionalhealth.uk/privacy-policy/
Required
Lastly - How did you hear about Intentional Health?
A copy of your responses will be emailed to the address you provided.
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