Nurturing connections: expression of interest

Welcome!

You’ve been asked to complete this form because you are have been invited to and are interested in attending the Nurturing Connections: skills and support training. In order to create meaningful and lasting change for the young people we work with, Khulisa also supports the adults in their lives. This ensures that the young people return to an environment they are better understood and supported in. Nurturing Connections is designed to share the practical knowledge and skills essential for nurturing their child/ward’s wellbeing, emotional development, and behaviour. The goal in providing this support is to reduce feelings of isolation and provide parents/carers with the support they need. Please complete this short form to let us know you’re interested so a member of our team can get in contact with you with further details. This form takes an average of 2-3 minutes to complete. The information shared is held securely in accordance with GDPR and will be treated with the utmost confidentiality. You can read Khulisa's full privacy policy here. We thank you in advance for your time.

Your availability

Please indicate your availability and preferences for the sessions

The programme will run ONLINE on Thursday evenings between 7:00 - 8:30pm.

The programme will run every week from Thursday 25th February - Thursday 25th March 2027

Will you be available to attend the sessions?

Yes, I can attend most / all sessionsNo, this timing does not work for me

Please suggest an alternative day/time to suit your schedule

To end with, is there anything else you would like us to know or bear in mind around your availability/preferences?

This could include if you have any other child care responsibilities, accessibility needs, or whether you require reasonable adjustments etc.

About the young person

To begin with, it will be useful to know some information about the young person you are responsible for. If you have more than one child in your care, make sure the information you provide in this section relates to the young person who is enrolled in a Khulisa programme.

Which school does the young person attend?

School record id

What is the young person’s first name?

And what is the young person’s surname?

What is their date of birth:
Enter a data or select from the calendar.

Mother	Father
Stepmother	Stepfather
Adoptive Parent	Foster Parent
Brother	Sister
Grandmother	Grandfather
Aunt	Uncle
Cousin	Guardian
Godparent	Other