Achiever Network Application Form

Please tell us about you:

Thank you for your interest in applying to join Achiever Network 14.

Please submit your application in good time – the sooner the better! The final deadline for this application is 12 noon on Friday 18th August 2025.

Title (if Other)

Title

Forename

Surname

Preferred Name

Example: Kevin to Kev, Alexandra to Alex

If you would like to let us know your preferred pronouns, please do so here

Please describe here

Address Line 1

Address Line 2

Town

City/County

Postcode

Borough / District

Mobile Number

Home Number

Email Address

Date of Birth

Please use format dd/mm/yyyy

How old will you be on 1st September 2025?

Education / Occupation

If Other, please state:

Name of Organisation:

Application Questions

Please specify how you are involved in Jack Petchey Foundation?

What did you win your award for?

Please describe your key strengths and weaknesses (minimum of five for each):

I believe my strengths are:

I believe my weaknesses are:

What strength, weakness, skill, or attribute would you like to improve? How will you know that you have improved?

What qualities, attributes, and skills do you have that make you a potential leader?

You could give some examples of how you have motivated others, influenced change, or made a difference to your community, school, youth group, etc.

How do you think the Achiever Network will help you to develop?
It is very important to us that members of the Achievers Network have a positive learning experience. Please tell us how you think taking part in this programme will help you.

Referee Details

Please provide details of an adult who supports your application to join the Achiever Network (this can’t be your parent or carer, but could you your teacher, youth worker, sports coach or the person who coordinates the Achievement Award scheme at your organisation. Please make sure you’ve asked for their permission before adding their details to this form):

Title

Title (if Other)

Forename

Surname

Organisation Name

Role

E.g. Teacher, Head of Year, Leader

Phone Number

Email Address

Address Line 1

Address Line 2

Town

City / County

Postcode

How do they know you?

Parent/Carer Details

Please provide details of your parent/carer (this person must be aged 18 or older):

Title

Title (if Other)

Forename

Surname

Preferred Name

Example: Kevin to Kev, Alexandra to Alex

Relationship to Applicant

Mobile Number

Home Number

Email Address

Address Line 1

Address Line 2

Town

City / County

Postcode

Emergency Contact Details

In the event of an emergency and we cannot contact your parent/carer, please provide details of an additional emergency contact (this person must be aged 18 or older):

Title

Title (if Other)

Forename

Surname

Preferred Name

Example: Kevin to Kev, Alexandra to Alex

Relationship to Applicant

Mobile Number

Home Number

Email Address

Address Line 1

Address Line 2

Town

City / County

Postcode

Submit Application

Please note that if you are under 18, you must get permission from your parent/carer to participate in the Achievers Network.

If you are under 18, we will send a copy of your application to your parent/carer and ask them to confirm that they are happy for you to participate.

We will also contact the referee you’ve provided details for.

Please note that the dates of the training days are as below. They are compulsory, so please check carefully that you available to attend them before submitting your application.

We also strongly recommend adding them to your diary or calendar, and any family calendar, so that you know you are still available, should you be successful in your application to join Achiever Network 14.

Selection Day: Saturday 13 September 2025 (9.45am – 4.00pm)
Residential Weekend: 10 – 12 October 2025 (Departure approx. 5pm Friday 10 October, returning approx. 3pm Sunday 12 October.)
Training Day 1: Saturday 29 November 2025 (9.45am-4.00pm + optional social until 6:30pm)
Training Day 2: Saturday 17 January 2026 (9.45am – 4.00pm)
Training Day 3: Saturday 14 March 2026 (9.45am – 4.00pm)
Training Day 4: Saturday 9 May 2026 (9.45am – 4.00pm)
Training Day 5: Saturday 27 June 2026 (9.45am – 4.00pm)
Achiever Network Graduation Ceremony: (TBC) 4 September 2026 (approx. 6pm – 9pm)

Thank you for applying to join Achiever Network 14. You will hear from us shortly!

Any questions? Please contact hboateng@jackpetchey.org.uk