Patient Voices: 3-day Digital Storytelling Workshop Application Form
Please complete this form if you would like to apply for a place on our three-day storytelling workshop. The workshop will take place from Wednesday 14 August to Friday 16 August 2019 at Durham University and will be facilitated by Pip Hardy and Tony Sumner (Patient Voices).

The workshop is supported by Hearing the Voice - an interdisciplinary study of voice-hearing based at Durham University and funded by the Wellcome Trust.

About you
First name
Your answer
Last name
Your answer
Email address
Your answer
Phone number
Your answer
Town/City of Residence
Your answer
Where would you be travelling from (if different from your place of residence)?
Your answer
What is your age?
What is your gender identity?
Your answer
What is your ethnicity?
Your answer
What is your main occupation?
Your answer
Do you identify as belonging to a religion or spiritual tradition? If so, please describe it here.
Your answer
Taking part in the workshop
Why are you interested in participating in this digital storytelling workshop?
Your answer
The workshop has been designed as a three-day programme, with all storytellers present for the full three days. Please tick to indicate you would be available for the full programme Wednesday 14 August - Friday 16 August 2019.
How we use your data
We will only use the data you provide for the purpose of selecting applicants for “Patient Voices”. For full details of how we will use and protect your data please read our privacy notice here: https://hearingthevoice.org/wp-content/uploads/2019/07/PrivacyNotice.pdf

I am happy for my data to be used in accordance with the privacy notice described above.
Thank you for completing this form. We will be in touch shortly.
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