Pathways to Health Application Form

Health Pioneers is a charity that empowers young people to shape the health of their communities by improving their environment, providing a platform to cultivate and voice their ideas, ensuring representation and equipping them with the tools to make the change needed.

www.healthpioneerscharity.com

Pathways to Health is a health education and leadership programme part of the Charity that empowers young people to work with health professionals to design, implement, and lead a project that solves a health problem.  

To apply students must have created an idea to solve a health problem their community faces. The young people will be supported, mentored, and coached by local health care professional in small groups for optimal engagement with the intention of fostering supportive relationships between peers and supervising mentors to help develop their idea from conception to implementation.  

The programme will end with the young people graduating obtaining the Health Pioneers Award (and if they want to the CREST AWARD), presenting their projects they have worked on and celebrating the impact they have made.

Alongside fostering supportive relationships between peers and supervising mentors to help develop their project idea and implement it, Pathways to Health Programme has weekend courses and virtual events to help equip them with health knowledge and leadership skills.

If you have any further queries please do not hesitate to contact us on:
p2h@healthpioneerscharity.com 

Health Pioneers Team
Dr Devina Maru
Ms Ife Akinroyeje
Dr Yasmin Milner
Dr Raoul Li-Everington
 
Visit our website and follow us on:

https://twitter.com/HealthPioneers_ 
https://www.facebook.com/HealthPioneersCharity
https://www.linkedin.com/company/healthpioneerscharity/
https://www.instagram.com/healthpioneerscharity/

By filling in this survey, you are consenting to the use of your anonymised data by Health Pioneers. This will exist as a spreadsheet that cannot be publicly accessed. Please email info@healthpioneerscharity.com if you wish to withdraw your anonymised data from this survey or have any concerns regarding this.

For information on our policy, please visit this link:  https://drive.google.com/drive/folders/1ZPGbuBpCpRrEOEUVHAPNqQ2EU4YLd1Di?usp=sharing 
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Full Name *
Email Address (must be gmail so you can join our Google Classroom) *
Which borough/county do you currently live in? *
School/College Name *
What is your age? *
Gender *
Religion *
Ethnicity *
What is the highest level of education of parent/guardian 1? *
What is the highest level of education of parent/guardian 2? *
Are you the first in your family (excluding siblings) to go to university? *
What is the occupation of parent/guardian 1? *
What is the occupation of parent/guardian 2? *
Are/were you eligible for Free School Meals (regardless of whether you are, or have ever, claimed it)? *
Are/were you eligible for Pupil Premium at school (regardless of whether you are, or have ever, claimed it)? *
Whilst at school was your household income less than £35,000? *
Are you estranged from your family? *
Have you been in care? *
Are you a refugee? *
Have you been a young carer for a family member? *
Do you have a disability? *
Name of Next of Kin/Guardian/Parent *
Mobile number of Next of Kin//Guardian/Parent  *
Would you like to go into further education? *
If yes, which subject? *
Please can you provide an email contact of a teacher/tutor at your school. *
What is your community health project idea (Maximum 150 words) 

Visit our website for inspiration https://www.healthpioneerscharity.com/community-projects  *
Who will your community project help? (Max 150 words) *
I commit to completing the community project and participating with my mentor over the course of the programme *
As part of the Pathways to Health scheme, Health Pioneers are collecting data about the students and mentors engaging with the scheme. We will also be asking some questions about gender, ethnicity, household background (your parents education levels and their occupations) and whether our candidates qualify for access schemes such as Widening Participation schemes. This data intends to identify ways to increase the access to university for students from less advantaged backgrounds and neighbourhoods. We hope that schemes like Pathways to Health will help students reach their potential and achieve their ambitions, even where the formal avenues of support may be lacking. Our research will aim to help find solutions to these issues.  In addition to this you will be given access to a Google Classroom whereby your name will be viewable. If you have further questions, or at any time wish to remove your participation in the scheme, please do not hesitate to contact the Health Pioneers team at p2h@healthpioneerscharity.com  By submitting this form and clicking 'I agree' you confirm that you have read and understand this information. You have had the opportunity to consider the information, ask questions and have had these answered satisfactorily. You understand that your participation is voluntary and that you are free to withdraw at any time, without giving any reason, without your medical care or legal rights being affected. You agree to take part in this research, overseen by the charity Health Pioneers. *
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