Name *

First Name

Last Name

Are you (or your family) a former refugee/ forced migrant? *

Yes

No

Do you have a business idea? *

Yes

No

What service/s would you like to apply for? *

Please tick AS MANY AS YOU LIKE

Group workshops

Microfinance loan (criteria applies, please see www.itirearea.co/microfinance)

Personal financial mentoring

Monthly networking events

What is your level of English ability and confidence? *

Please tick one

Basic English (I need an interpreter)

Basic English (I have some confidence)

Good English (I am confident in 1 or 2 aspects of speaking, reading and writing)

Excellent English (I am confident speaking, reading and writing)

Which of the following can you do? *

Please tick AS MANY AS YOU CAN DO

Write and send emails

Type a document using Microsoft Word or Google Docs

Use Microsoft Excel or Google Spreadsheet

Research using Google or the internet

Create posts in English on Facebook

Create posts in English on Instagram

Create a powerpoint presentation

I cannot do any of the above

When suits you best to attend the programme? *

Please tick which time/s you are available

Weekdays during the evening

Weekends during the day

I am available anytime

I am able to commit the minimum 4 -6 hours required each week *

Yes

No

Are you fully vaccinated from Covid? *

Our programmes are held at Auckland Council venues which require all participants to be fully vaccinated

Yes

No

If you have children over 5 years old you need to bring to the group workshops, please tell us how many?

We prefer you arrange childcare as a first option. Please note children over 12 years old must be vaccinated.

1 child

2 children

3 children

4+ children

I would like a full scholarship ($980+ value)

Yes

How did you hear about our programmes? *

Friend / family member told me

I saw a poster /flyer in the community

ARCC

Facebook

Instagram

Google search / website

Radio

Newspaper

Other

I would like to receive news and updates *

Yes please!

No thank you

I agree for any photos or videos taken during the programme to be used for reporting to funders and promotional purposes only. *

We will strictly not use photos or videos of participants for any other purpose.

Yes

No

I agree to the Information Consent Policy *

LINK TO POLICY IS AT THE TOP OF PAGE. If you do not agree, please state in the comments box below your reason

Yes

No