Parent Passport to Potential (Summer Programme) - Interest Form

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1. How many children do you have?

1
2
3
More than 3

2. What age is your child/children?

3. What do you and your family like to do together for fun?

4. If you could take your children anywhere in Ayrshire on a day trip, where would you like to take them?

5. What would you like support with? (Tick all that apply)

Getting a job
Training courses
Making a CV
Using computers
Meeting other parents
Building my confidence / emotional support
How to cook
Finding budget friendly meals
Increasing my household income

6. Does your household earn less than £26,884 a year after tax?

Yes
No

7. Please state your name, your phone number and email address

8. Please state your post code

9. Will you be available to take part during 27th July - 16th August?

Yes
No

10. Do you have any access requirements you would like us to be aware of?

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