Register to be a Member of Youth Parliament - Page 1 of 3 - Dorset Council

Youth Parliament Registration Form

Please use this form to let us know a little bit more about you. The Youth Voice team will then be in touch for an informal chat.

If a set of questions doesn't apply to you, please put N/A if an answer is required.

If you have any questions or queries please reach out to the Youth Voice team by email on youthvoice@dorsetcouncil.gov.uk.

Please note that the information collected will not be shared beyond the Youth Parliament and Youth Voice team. Dorset Council adheres to our privacy policy. You can view our Privacy and cookies policy - Dorset Council online or request a paper copy by emailing customerservices@dorsetcouncil.gov.uk.

Please tell us your name

First Name

Last name

What pronouns do you use?

She/Her He/Him She/They He/They They/Them Other please specify below Prefer not to say

If other, please specify here:

Do you consider yourself to have any additional needs?

For example, a mental health condition, special educational needs and/or disability, or do you have an Education Health Care Plan (EHCP)

Yes No Prefer not to say

If yes, please tell us anything you think we might need to know to help you take part.

Your contact information

Your email address

Your phone number

Do you attend an education setting in the Dorset Council area?

Yes No

If yes to attending an education setting, where do you attend?

Please also use this textbox to tell us if you are electively home educated.

Name of school or education provider

What is your postcode?

Why are we asking this? Why are we asking this?

To be eligible to represent Dorset and stand for election must live or attend an education setting in the Dorset Counil area.

Postcode:

Parent, carer and guardian information

Please tell us the name of your parent, carer or guardian

Your parent, carer or guardian's email address

Your parent, carer or guardian's contact number

Do you have any other comments about being Member of Youth Parliament?

You may wish to consider:

if you want to know more about being a Member of Youth Parliament or Youth Voice
telling us about a campaign idea you have

Please tell us here: