Young Voice Registration Form

We believe that your voices are key to improving our mental health services. Our aim is that young people are involved in all aspects of our work.

Become a Young Advisor at HFEH Mind. By getting involved, you will meet like-minded people and gain skills, experiences, and a unique opportunity to add to your CV. If you contribute to two or more involvement activities per month, you will be rewarded for your time with monthly gift vouchers.

To become a Young Advisor, you must be

Aged 10-19
Live in Hammersmith, Fulham, Ealing and Hounslow, or;
Go to school or college in Hammersmith, Fulham, Kensington, Chelsea, or Westminster
Be passionate about creating positive change in mental health for young people

To sign-up, please fill out the details below. If you are under 16, we will need consent from a parent or carer before you can get involved.

We will need to keep in touch with you about the participation activities you can get involved with. We will generally email you but may occasionally phone you as well.

Please tell us your preference for contact by ticking options below*

EmailTelephone

Please select which activities you would like to be involved in:*

Monthly Young Advisor panelsProject work (creating blogs, podcasts or videos)Recruitment (sitting on interview panels to influence recruitment)Campaigns and community eventsFocus groups

Name*

First NameLast Name

Date of Birth: *

Date

Contact email: *

Contact number: *

Which borough do you attend school in?*

Please state the borough that your school is in:

Please state the name of your school:*

Which borough do you live in?*

Please state the borough that you live in:

Please enter your current address:*

Gender

Ethnic Background:

Black Subcategory Option:

Asian Subcategory Option

Mixed Subcategory Option

White Subcategory Option

If Other please specify

What is your Religious background?

Please specify who is providing consent*

I am a young person aged 16 or above.I am the Parent/Carer of the young person who is under the age of 16.

DATA COLLECTION STATEMENT

To facilitate Youth Participation activities, including the Hammersmith, Fulham, Ealing, and Hounslow Mind (‘HFEH Mind’) Youth Panel, we need to store personal data relating to the children or young people we work with.

Before agreeing to be involved in Youth Participation activities at HFEH Mind, we must ensure you understand and agree to the way we store personal data.

We process and store personal data in compliance with the Data Protection Act 2018. All the personal data you provide to us will be stored internally on secure databases. This personal data is only accessible to HFEH Mind staff.

In line with our Data Retention Policy, we will retain the personal data collected on our secure databases for a period of up to six years unless you instruct us otherwise. After the six-year retention period, the personal data collected will be safely and securely erased from our databases.

Individuals have legal rights regarding data processing, and the personal data that is recorded about them, including the right to request access to the personal data that HFEH Mind holds on them.

DATA SHARING STATEMENT

Your personal data will not be shared outside our organisation unless:

You provide clear consent for specific information to be shared with a specific third-party individual, or organisation, for a specific purpose.
We have a safeguarding concern, i.e., we are concerned about serious harm or life-threatening risk to you or others, or we are concerned about indications of abuse or neglect.
We have a legal obligation to do so.

We will never share personal data for marketing purposes.

For full information on your rights regarding Data Protection, you can request a copy of our Data Protection Policy, Data Retention Policy, Data Subject Right of Access Requests Policy, Children’s Safeguarding Policy, or Adults Safeguarding Policy, by emailing our Youth Participation inbox get-involved@hfehmind.org.uk

DATA COLLECTION STATEMENT

To facilitate Youth Participation activities, including the Hammersmith, Fulham, Ealing, and Hounslow Mind (‘HFEH Mind’) Youth Panel, we need to store personal data relating to the children or young people we work with.

Before agreeing to be involved, or for your child to be involved, in Youth Participation activities at HFEH Mind, we must ensure you understand and agree to the way we store personal data.

We process and store personal data in compliance with the Data Protection Act 2018. All the personal data you provide to us will be stored internally on secure databases. This personal data is only accessible to HFEH Mind staff.

In line with our Data Retention Policy, we will retain the personal data collected on our secure databases for a period of up to six years unless you instruct us otherwise. After the six-year retention period, the personal data collected will be safely and securely erased from our databases.

Individuals have legal rights regarding data processing, and the personal data that is recorded about them, including the right to request access to the personal data that HFEH Mind holds on them.

DATA SHARING STATEMENT

The child or young person's personal data will not be shared outside our organisation unless:

You provide clear consent for specific information to be shared with a specific third-party individual, or organisation, for a specific purpose.
We have a safeguarding concern, i.e., we are concerned about serious harm or life-threatening risk to the child or young person, or others, or we are concerned about indications of abuse or neglect.
We have a legal obligation to do so.

We will never share personal data for marketing purposes.

For full information on your rights regarding Data Protection, you can request a copy of our Data Protection Policy, Data Retention Policy, Data Subject Right of Access Requests Policy, Children’s Safeguarding Policy, or Adults Safeguarding Policy, by emailing our Youth Participation imbox: get-involved@hfehmind.org.uk

Young Person Consent Form

This consent form should be completed by the young person aged 16 or above.

I have read and understood the ‘Data Collection Statement’ and ‘Data Sharing Statement’ in the section below. By signing below you consent to the Hammersmith, Fulham, Ealing, and Hounslow Mind Youth Panel and getting involved in the related Youth Participation opportunities that we facilitate.

Name*

First NameLast Name

Signature*

Date*

Date

Parent/Carer Consent Form

This consent form should be completed by a legal Parent / Carer of the young person who is under the age of 16.

I have read and understood the ‘Data Collection Statement’ and ‘Data Sharing Statement’ in the section below. By signing below you consent to your child joining the Hammersmith, Fulham, Ealing, and Hounslow Mind Youth Panel and getting involved in the related Youth Participation opportunities that we facilitate.

Your Name*

First NameLast Name

Signature*

Date*

Date

Young Person's Details

Young Person's Demographic Details