Young People Social Leadership/Volunteers We want young people to play a leading role in our campaign We're looking for young people aged 14-25 with personal experience of mental health problems, who live in the South East Region to work with Time to Change and do their bit to end the discrimination faced by people with mental health problems. Social Leadership is an opportunity for young people to be trained and volunteer directly in our campaign. All opportunities are currently based in our pilot region, the South East Region (with a particular focus in Kent and Medway). Consent Form Under 18s (requires parent/ guardian to sign) Please tick the boxes to indicate consent. (Please tick) I give consent for my child (name)___________________________________________________ to attend Time to Change Young people Social Leadership Programme at different venues We require (recommend) all young people under the age of 18 to be accompanied by a guardian 18 years or over when travelling. Please tell us how your child will be travelling and if they be travelling with someone and who that person will be (those travelling do not need to stay with the young person during the session). Name of participant Signature of participant Date ______________________________ ________________________________ ___________ Name of participant’s parent/guardian Signature of parent/guardian Date ______________________________ ________________________________ __________ NB: panelist are able to leave the group whenever they wish, please inform Dave.Wong@rethink.org if you ever wish to do so.