Youth programme application form

First name

Surname

Chosen name (if different to first name)

Contact email address(Required)

Please confirm you are aged between 18 and 25(Required)

I am between 18 and 25 years old

Please note we will request proof of ID upon offering places on this programme.

Why do you feel that Holocaust Memorial Day is an important day to mark? (Max. 600 characters including spaces)(Required)

Why would you like to apply for the Holocaust Memorial Day Trust Youth Programme? (Max. 600 characters including spaces)(Required)

What do you feel you would bring to the Youth Programme? (Max. 600 characters including spaces)(Required)

Is there any further information you would like to give to support your application?

Data permissions(Required)

By ticking this box you are consenting to the information collected in this form being stored by the Holocaust Memorial Day Trust (HMDT). Your name and email address, may be used to contact you for further information.