Knowledge for Change Application Form

Personal details

KfC is a 10 week course that requires you to commit to one day a week for ten weeks with an optional accredited level 1 OCN qualification, ‘Developing Healthy Relationships & Respect’ that requires you to complete some coursework outside of the training days. There is support for this if you require it.

We collect information on applicants to Knowledge for Change to help us build a better picture of the kinds of people who come onto our courses. This is then used to help us apply for funding as some funders will seek to fund people from a specific background – people who have experienced homelessness or have been long-term unemployed for example. All data we collect is anonymous when used for this purpose.

Please take a few minutes to complete the sections below. We appreciate you taking the time to provide us with such personal information.

Your experiences of drugs/alcohol
Your experiences of substance misuse treatment
Education & employment history
Mental Health

Have you had any mental health issues in the last two years? For example – depression, anxiety, psychosis, suicidal thoughts. If yes:

Your home life
Criminal background

Thank you for taking the time to fill in this application form. We appreciate that some of the questions may have been difficult.

Your privacy

We will always store your personal details securely, we’ll use them to provide the service you requested, and communicate with you in the way(s) that you have agreed to. Your data may also be used for purposes of analysis, to help us provide the best service possible. For full details, see our Privacy Policy: