<p> Inked– Sign up Form</p><p>Please complete the details below. This will help us to make sure that we do our best to support your needs and help you to get the most out of the course.</p><p>Name</p><p>Address</p><p>Phone No.</p><p>Email</p><p>I find it very difficult </p><p>There’s some things I find hard </p><p>How would you rate your I would like to brush up on my skills reading skills? I feel quite confident </p><p>I feel very confident </p><p>Not at all confident </p><p>A little confident How confident are you at writing? Quite confident </p><p>Very confident </p><p>Not at all confident </p><p>How confident are you at using A little confident computers? Quite confident </p><p>Very confident </p><p>What do you hope to get out of</p><p>DATA LABEL : PROTECT To gain awareness of design </p><p>To research and make 3 designs </p><p>To gain a qualification </p><p>To gain confidence coming on the course? (Tick as many boxes as you like) To meet new people </p><p>To improve your literacy skills </p><p>Other (give details) </p><p>You will get support from our tutors with all the activities that we do. However, you may feel you need some extra help. What additional support, if any, will you need to come on the course?</p><p>Reading support </p><p>Writing support </p><p>A crèche From our tutors Help with using computers and technology</p><p>Any other help (give details) </p><p>Someone to support you to come on your first day From others (including key workers) Help getting to and from the group each week Any other help (give details) </p><p>Please tell us about any additional support needs, disability or medical condition that we should be aware of. (e.g. do you need help with learning, mobility hearing etc?)</p><p>DATA LABEL : PROTECT Please tell us about any allergies that you may have.</p><p>Key Worker Contact Details (if relevant) Name</p><p>Organisation</p><p>Email</p><p>Phone No.</p><p>Thank you</p><p>DATA LABEL : PROTECT</p>