BOOST UKSPF Programme Registration

Name *

First

Last

Email *

Full Address *

Postcode *

Phone Number *

Date of birth [day/month/year] *

Are you over 18 years of age? *

• Yes
• No

Are you Resident in Barnet? *

• Yes
• No

Are you currently unemployed? *

• Yes
• No

Are you currently self-employed? *

• Yes
• No

Do you have the right to live and work in the UK? *

• Yes
• No

Are you registered with other Employment support services? (For example Shaw Trust) *

• Yes
• No

Are you a Barnet Homes Tenant? *

• Yes
• No

How did you hear about us? *FacebookX ( Formally Twitter)GoogleJob Centre PlusInstagramBarnet CouncilWebinarsEmailsFriendLinkedInNewsletterLeaflet/posterEventGrahame Park LibraryChipping Barnet LibraryChipping Barnet FoodbankOther FoodbankWorkshopJob FairBOOSTBarnet HomesSocial Prescriber or GPWest Hendon HubOther organisation

Which Job Centre are you registered with? *

• Hendon Job Centre
• Barnet Job Centre
• Harlesden Job Centre

Are you claiming any benefits? *

• Universal Credit
• New Style Job Seekers Allowance
• Not claiming
• Claiming other benefit not listed

If you are claiming any other benefit please specify:

BOOST take data protection seriously. Please read our privacy policy to understand how we handle your data and what your rights are. *

• By ticking this box I agree that I have read the privacy policy and consent to the given information being used by Boost to contact me about services relevant to my job search.

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