New Leader General Information

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Use this form for those wishing to undertake the Adult Leadership Qualification only, inc. Young Leader-LQ 16+.

Do NOT use for Young Leaders.

CHECKLIST:

Please check your GO record before submitting this form to ensure that you are now registered as a Leader in Training. If this is not the case please contact your Commissioner to amend your record for you. Please complete all the blue cells as fully as possible.

Please indicate which of the following describes you:

Dropdown

What's your D.O.B.?

Changing from

Changing to

Which section?

A gap of how long?

years

Contact details

Membership Number *

Your Name *

Preferred Name

Phone Number *

Address Line 1 *

Address Line 2

City *

County

Postcode *

Email *

Section Information

Proposed Section *

Unit I will be working with: *

Meeting Day *

Meeting Time *

Meeting location:

Address Line 1 *

Address Line 2

City *

County

Postcode *

Unit Leader Is: *

Unit Leader Phone Number *

Unit Email *

My Division *

Your Mentor

Please detail the most convenient days and times to meet / speak to your Mentor:

What is the earliest time in the day that you may be contacted:

What is the latest time in the day that you may be contacted:

Your Experience

Prior learning / experience which I would like to be taken into account (e.g. Guiding experience, working with children including my own, skills used in employment and unpaid work and other interests):

Data protection statement: This information is collected for the purpose of completion of Girlguiding's Leadership Qualification. It will be stored securely whilst this is being undertaken and then securely destroyed when the qualification is completed or the volunteer withdraws from the qualification.

By completing and submitting this form you are consenting to your name being included in the County Newsletter when you have completed the Leadership Qualification.

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