Nomination

The Hope Tech Project supports children and young people aged 8–18 who are affected by cancer and serious illness across the West Midlands. To help ensure support reaches those who need it most, nominations should be submitted by professionals involved in the young person's care, such as healthcare professionals, social workers, youth workers, teachers, or other support organisations. If you know a young person who could benefit from access to technology, we would love to hear from you.The Hope Tech Project supports children and young people aged 8–18 who are affected by cancer and serious illness across the West Midlands. To help ensure support reaches those who need it most, nominations should be submitted by professionals involved in the young person's care, such as healthcare professionals, social workers, youth workers, teachers, or other support organisations. If you know a young person who could benefit from access to technology, we would love to hear from you.

Young Person's First Name*

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Young Person's Age*

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Young Person's Gender*

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Young Person's Postcode*

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Young Person's Diagnosis (e.g., cancer type)*

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Undergoing Treatment

Does the young person have access to technology at home?*

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Nominator Name*

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Nominators Job Title/Role:*

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Nominators Organisation/School/Hospital*

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Nominators Contact Email*

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Nominators Contact Number*

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Briefly explain why this young person would benefit from a gift*

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I confirm I have consent from the young person's parent/guardian to share these details for nomination

I hereby agree that this data will be stored and processed for the purpose of establishing contact. I am aware that I can revoke my consent at any time.*

* Indicates required fields

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