Youth Parliament Application form

Please complete the form to submit an application to the Youth Parliament. The form will include asking you why you want to join as well as some equalities data.

The Council collects Equalities data to help improve access to Council services for all residents. The Council also has to collect and analyse data to demonstrate compliance with the Equality Act 2010 (Specific Duties) Regulations 2011. We also want to ensure that we have consulted with all of the different equalities groups.  Your answers will not be used to identify you. You do not have to complete these questions.

What is your name?

* required

Maximum 255 characters

0/255

What is your connection to Hounslow?

* required

Select option

What is your school's name?

* required

Maximum 255 characters

0/255

What is your date of birth?

* required

Please provide your mobile number

* required

Maximum 255 characters

0/255

Please provide your email address

* required

What is your gender?

Male

Female

Prefer not to say

Other (please specify)

What is your ethnicity?

Asian or Asian British

Black, Black British, Caribbean or African 

Mixed or multiple ethnic groups  

White  

Prefer not to say

Other ethnic group

Do you consider yourself to have a disability?

* required

Yes

10.

Please tell us why you want to run for UK Youth Parliament (Hint - tell us what skills and experiences you have that demonstrate your abilities, and let us know what you are passionate about - try to share three priorities you would like to focus on whilst in Youth Parliament)

Maximum 5,000 characters

0/5,000

11.

Please provide your Parent/Carer's name

* required

Maximum 255 characters

0/255

12.

Please provide your Parent/Carer's mobile number

* required

Maximum 255 characters

0/255

13.

Please provide your parent/carer's email address

* required