CashBack Off the Bench Sign Up Form
Start date: April 2025.

The following information will allow us to ensure we have the relevant information per person in relation to the delivery of the programme. This information will only be shared with appropriate staff from the St Mirren FC Charitable Foundation, the SPFL Trust and the Scottish Government.

If you have any queries about the information that is being requested, please get in touch with St Mirren FC Charitable Foundation Community Development Manager Martin Cavan at foundation@stmirren.com
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First Name *
Last Name *
Date of Birth *
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/
DD
/
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Age *
Email *
Phone Number *
Full Address, including postcode *
Self Nomination
If you selected 'No' to the above question, who is nominating the above participant?
Why would you like to attend 'CashBack Off the Bench?' *
An example would be 'to be supported back into education' or 'to gain qualifications' or 'to help with getting a job' etc.
Are there any barriers to attending?
An example would be 'I have some caring responsibilities' or 'I am not fully mobile' etc.
Is there anything that would help you attend?
An example would be 'a bus pass' or 'if you could provide kit to wear' etc.
Other Personal Information
An example of this would be if you have any medical conditions, allergies or any learning difficulties.
How did you hear about us? *
Required
If you are completing the form on behalf of the named nominee above, please fill out the questions below.
Full Name
Email Address
Phone Number
Organisation or Company Name
Organisation or Company Website
Consent
By submitting this form, you are subscribing to our newsletter and consent to our team contacting you with more information about our programmes. Your personal information will be handled in accordance with our Privacy Policy.
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