National Citizen Service NCS

Fill in your details to find out more about NCS

If you are interested in hearing more about NCS, please fill in your details below. By filling in this form you are not committing to joining the scheme, but someone will get in touch with you to give you more information about doing National Citizen Service in your local area. NCS is happening across most of England and Northern Ireland this autumn. To register your interest and find out whether there is a programme in your area, please fill in your details below.

If you are a parent or a carer and would like more information on behalf of a young person, please fill in the second half of the form. The young person must be 17 on 31st August 2013 if applying in England, or 16 on 31st August 2013 if applying in Northern Ireland.

Please note NCS is only operating in England and Northern Ireland. Unfortunately we cannot accept applications from Wales or Scotland.

To be filled in if you are interested in doing NCS

Please confirm whether you have done NCS before:

Yes No

First Name:

Surname:

D.O.B	/ /
You will need to be 17 on 31st August 2013 (if applying in England) or 16 on 31st August 2013 (if applying in Northern Ireland) to be eligible for NCS this autumn

Phone Number:

Email:
If you have given us a phone number you don't need to fill this in

Postcode:

I confirm that I have read the privacy policy and I agree that the information I have provided on this form can be used by NCS providers and other organisations working with them for the purposes of running and evaluating the NCS 2012 programme. I also agree that my email address can be shared with the Cabinet Office so that I can be kept informed about further opportunities and offers available to me as an NCS participant.

To be filled in if you are a parent/guardian enquiring about NCS on behalf of a young person

Please confirm whether the young person has done NCS before:

Yes No

	Please tick to confirm the young person will be 17 on 31st August 2013 (if applying in England) or 16 on 31st August 2013 (if applying in Northern Ireland)

Details entered below should be for you (parent/guardian) not the young person

First Name:

Surname:

Email:

Phone Number:

Postcode: