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By Youth, For Youth: Creativity That Moves Beyond the Margins
Name
*
First Name
Last Name
Preferred Name
First Name
Last Name
Date of Birth
*
MM
DD
YYYY
Place of Birth
Ethnicity
*
White - British
White - Irish
White - Other white background
Black or Black British - Caribbean
Black or Black British - African
Black or Black British - Other black background
Mixed - White and Black Caribbean
Mixed - White and Black African
Mixed - Other mixed background
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi
Asian or Asian British - Other Asian background
Arab
Chinese
Other Ethnic Group
Don't Know
Don't Want to Say
Gender Identity
*
male, femle, non-binary, etc
Pronouns
*
he/him, she/her, they/them, etc
Sexual Orientation
*
Lesbian, Gay, Asexual, etc
Email
*
The best email to contact you with
Contact Number
If no email
Years lived in Liverpool
*
e.g. 1972 - 1990
Tell us a little about yourself and why you'd like to be involved
Hobbies, job, favourite part of Liverpool etc
Thank you!