Apply to our Youth Board

So you want to join the Youth Board?

To apply, please complete the membership form. A member of the team will then contact your parent/carer to discuss your involvement.

We’ll let them know that you are applying to be a member and that we are holding your personal information for membership and communication purposes.

If you have any questions please contact: LG.PatientExperienceLGT@nhs.net

 

Your details

Note: Questions marked by * are mandatory

*This is a mandatory field. Are you/your child between 14 and 18 years of age?

Yes
No

*This is a mandatory field. Date of application

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*This is a mandatory field. Your full name

*This is a mandatory field. What are you known as / do you prefer to be called?

*This is a mandatory field. Your date of birth

*This is a mandatory field. Your phone number

*This is a mandatory field. Your email address

*This is a mandatory field. Your parent/guardian's full name

*This is a mandatory field. Your parent/guardian's relationship to you

*This is a mandatory field. Your parent/guardian's phone number

*This is a mandatory field. Your parent/guardian's email address

*This is a mandatory field. Your home address

*This is a mandatory field. Do you live or go to school in Lewisham, Greenwich or Bexley?

Yes
No

Name of your school/college (if applicable)

How did you hear about our Youth Board?

Do you require any additional support to take part? (For example, you might have a disability or special educational need)

* Spam Guard: Is a fire hot or cold?