EasyRead Storytellers App Form · Web viewSome people have stories about not being allowed to make...
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Application Form for Storytellers 1. Do you have a story about not being allowed to make your own decisions about medicine, sex and relationships, or other things to do with the law? Or Do you sometimes get help to make these kinds of decisions? Yes No 3. Are you willing to tell your story to others? 4. Have you read the ground rules for the VOICES project and are you happy with them? 5. Are you happy for the VOICES team to use your name when they tell people about your story in books and talks? 6. Can you work with the VOICES team for 2 years? Please tick this box if you need money to get to our meetings. ☐
Transcript of EasyRead Storytellers App Form · Web viewSome people have stories about not being allowed to make...
Application Form for Storytellers
1. Do you have a story about not being allowed to make your own decisions about medicine, sex and relationships, or other things to do with the law?
Or
Do you sometimes get help to make these kinds of decisions?
Yes No
3. Are you willing to tell your story to others?
4. Have you read the ground rules for the VOICES project and are you happy with them?
5. Are you happy for the VOICES team to use your name when they tell people about your story in books and talks?
6. Can you work with the VOICES team for 2 years?
7. Is it okay for the VOICES team to change some words you use so other people can understand better?
If you said YES to all of these questions and want to tell your story, please fill out the rest of the form. Let us know if you need any help with the form.
If you said NO and still want to take part, or if you have any questions, please contact Cliona at 353 (0)91 494272 or [email protected] .
Please tick this box if you need money to get to our meetings. ☐
Personal Information
1. My name is: first name surname
2. I am: female male
3. My address is:
4. My telephone number is:
5. My email address is:
6. My Skype address is:
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7. I prefer to be contacted by:post telephone email Skype Other:
Storytelling
8. Can you tell us about what happened when you wanted to make your own decisions?Some people have stories about not being allowed to make decisions about medicine, sex and relationships, or other things to do with the law. Some people get help with these kinds of decisions.
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9. Why do you want to tell your story?
10. Have you ever told your story to other people before?
Yes No
11. If you did tell your story before, did someone record it or write it down? Can we find it somewhere?
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12. How did you hear about the VOICES project?
Supports
If you want your story to be in our book, someone will work with you to help you tell your story.They will add some ideas about how people could be better supported in future.
You will have to come to 3 workshops in Dublin or Galway between April 2016 and November 2017.
13. What activities do you do that might make you too busy to take part in the VOICES project?
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14. I will bring my own support person with me.
Yes No
15. Someone from the VOICES team will help you to tell your story. Is there any other help you need, like a personal assistant or help with hearing or speaking?
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16.Can you work by email or Skype or do you prefer to talk with someone face-to-face?
17. Is there anything else we can do to make it easier for you to tell your story?
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18. Is there anything else you want to tell us about why you want to be part of the VOICES project?
Thank you for taking the time to fill out the form.
We will be in contact with you as soon as possible to let you know the outcome of our selection process.
Please send this form to:
Clíona de BhailísVOICES Project,Centre for Disability Law and Policy (CDLP),NUI Galway,University Road,Galway, Ireland
353 (0)91 494272
Forms must be received by 5pm on Friday the 11th of March 2016. If you are posting it close to the deadline, please contact us by email or phone so we can
make sure it is included in the selection process.
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