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Application Form
First Name
Last Name
Email
Which of the following options best describes how you think of your gender identity?
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What is your ethnic group?
Phone
Birthday
Why would you like to join the Groundbreakers Leadership Programme? (300-500 words). Tell us about yourself and about an idea you have that can contribute to the social, economic and cultural well-being of Barking & Dagenham. Don’t worry if you haven’t thought in detail about this yet – tell us about your interests and ambitions for the borough and how the Groundbreakers programme can help you?
Alternatively you can send us a voice recording or video telling us why you would like to join the Groundbreakers
Upload Audio or Video File
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