The School Uniform Bank Application form Question Title * 1. Have you received permission from the Head Teacher of the school you are applying to join the School Uniform Bank? If not please receive this confirmation before completing this form. Yes No Question Title * 2. Contact Details Name Email Address Phone Number Question Title * 3. Secondary contact Name Email Address Phone Number Question Title * 4. Name and address of School Name Address Address 2 City/Town Borough ZIP/Postal Code Question Title * 5. Do you currently run a preloved uniform shop? Yes No Other (please specify) Question Title * 6. How often do you run/ intend to run your preloved uniform shop? Question Title * 7. As part of the Recycle for Your Community programme Keep Britain Tidy offer free textile waste prevention workshops. Are you happy for our Education and Engagement officer to contact you with further details of these free workshops? Yes No Question Title * 8. In order to join the project and receive your free The School Uniform Bank donation bin we will require reuse figures from each shop*. This information will be used to measure the impact of school uniform reuse shops on textile waste prevention and be used within our reporting as well as be shared with East London Waste Authority and the London Boroughs of Barking & Dagenham, Havering, Newham and Redbridge. Do you agree to sharing this information with us? *total number of items sold or given away. Yes No Other (please specify) Question Title * 9. As part of joining The School Uniform Bank, you agree to share the number of items sold or donated on a monthly/ half termly basis. We will be sending occasional reminders, updates and a School Uniform Bank newsletter to the email addresses given above. Yes I agree Thank you for your application. We will be in touch shortly. If you have any questions or would like to discuss this offer further please contact us via email recycleFYC@keepbritaintidy.org or by phone 07891815068 Done