Story Capture Questionnaire – Interns
________________________________________________________________________________

Why are we asking you to complete this questionnaire?

We want to hear about your time in the Internships Work programme. Your story is important and can help and inspire other young people like you. We'll ask about what you did and what you think about your internship.

________________________________________________________________________________

How to answer this questionnaire:

Tell us about what you did and how you feel about it. It's okay and great to be honest and say what you really think. You can skip any question you don’t want to answer. You can ask a friend, family member, or your job coach to help you fill this out.

________________________________________________________________________________

Steps:

Fill in the answers.

After you're done, send it back to us (see help at the end of the document to help you do this).

We'll use your answers to write a story and then we'll share it with you to see what you think.

If you like it, we'll share it with others.

We might even use your story for something big, like a magazine, but we'll always ask you first.

________________________________________________________________________________

Learn more about Internships Work:

Want to know more about Internships Work? please follow this link.
For more information about Supported Internships please click here.
To learn more about why we created this questionnaire please click here.

Consent Statement

By filling this out and sending it back to us, you're telling us that you’re okay with us using your answers to tell your story to others. We'll keep your personal details safe and follow the rules about privacy. For more details, look at the media release form at the end.

Story Capture Questionnaire

When there is guidance in the answer box, please read the guidance, then delete it and add your answer in the box. Thank you.

Full Name
Contact Details	Email:
Phone: optional
Can we use your real name if we tell your story? If NO, we will not use your real name and use a fake name instead.	YES NO
Pronouns Mr,Miss,Ms,Mx
Age
Location	Town, County, Region
College/School’s Name
Internship Role(s)	What job(s) do you / did you work on during your internship?
Optional: Share photos or videos with us.	YES NO If yes, please make sure to attach the files to your email when sending us back your questionnaire.

A Quick Note Before You Begin:

Your answers are really important to us. They help us tell your real story, and what you say can help guide other young people. For this reason, it’s great if you can give us as much detail as possible. We're really grateful for you sharing your story with us.

Q1.	Can you tell us a bit about yourself (your favourite activities, interests or hobbies) and one reason why you joined the supported internship programme?
Q1. Answer
Q2.	When you first heard about this programme, how did you feel? What did you think it would be like?
Q2. Answer
Q3.	What new things have you learned since you started your internship?
Q3. Answer
Q4.	What is your favourite part of the day when you are at your internship?
Q4. Answer
Q5.	Have you faced any challenges, difficulties or hard times during your internship? How did you deal with them?
Q5. Answer
Q6.	What were some moments of joy or pride you experienced during your internship?
Q6. Answer
Q7.	Who helps you in your internship? What kind of things do they help you with?
Q7. Answer
Q8.	What are your dreams or goals for after you finish your internship?
Q8. Answer
Q9.	Can you share a fun or happy memory you have from your time in the programme?
Q9. Answer
Q10.	Would you recommend a supported internship to your friends? What advice would you tell them?
Q10. Answer
Open Feedback	Overall, what do you think about supported internships? What is good about it, and is there anything you would change?
Open Feedback Answer

Before you send this back, here's a quick guide to help you:

Save your file! If you can, save this document with the following file name and add your name to it like so: StoryCQ-YP-[Your First Name]-[Your Last Name]
If not just save it with your full name as the file’s name.

Please complete our media release form at the end.

Send your completed questionnaire to lucy.tsuchida@ndti.org.uk with the subject line 'Filled Story Capture Questionnaire – Young People'.

Attach any photos or videos you want to share.

After we get your answers, it might take up to 3 months for us to make your story. If you don’t hear from us during that time, you can contact us for an update via the same email provided above.

Please scroll down to complete our media release and consent form.

Media Release and Consent Form

An easy read version of this form is available below if needed (please scroll)

Project Title: Sharing Our Stories – Supported Internship & Internships Work Programmes

Purpose of Collection: By completing this questionnaire, you consent to NDTi, DFN Project Search, BASE, and their contracted project partners using your responses for the purpose of creating and sharing stories to promote the Internships Work Programme.

Use of Information:

Your responses may be included in printed and digital materials, websites, social media platforms, presentations, exhibitions, and other forms of electronic communication.

We adhere to the privacy policies of each platform, and your information may be visible outside the UK.

Your story and media(s) you share with us will be subject to the Privacy Policy of the website in question and may be visible outside the United Kingdom, where UK law applies.

Data Retention and Right to Withdraw:

The information you provide will be kept for five (5) years and may be used during this time as indicated above.

You can request cessation of the use of your information by contacting InternshipsWork@ndti.org.uk. Please note, we cannot recall already used materials but will ensure no future use.

Consent Statement:

I, ___ (your name) ___ hereby consent to the use of my questionnaire responses and any media that I share along with it by NDTi, DFN Project Search, BASE, and their project partners for the purposes outlined above. I understand this content may be used in various media formats.

Signature: _______________________________

Date: _______________________________

If you are under the age of 16, a parent or legal guardian must also sign.

Signature: _______________________________

Date: _______________________________

For more information on data use and your rights, please visit www.ndti.org.uk/privacy-policy.

Thank You!

A big thank you from all of us at Internships Work for sharing your personal story.

It's brave to share what you've experienced, and we really appreciate it.

Your story is important and will inspire others, helping to make a world where everyone is included and can live the life they chose.

Media Release and Consent Form Easy Read

Thank you for letting us use photos, film footage or audio recordings of you, and/or your stories that you have shared with us
This form gives us permission to use them.
The permission is for NDTi, DFN Project SEARCH, BASE and relevant project partners.
Your photo, film, recording and/or story will only be used to tell people about our work.
It could include:
Printed and digital materials, for example publications or newsletters
Websites
Social media
Presentations, exhibitions and posters
News articles, for example in magazines, newspapers, radio or TV
You need to sign on the next page to give us permission
Your name __________________________________
Your signature __________________________________
Date ___________________________________
If you are under the age of 16 a parent or legal guardian must also sign.
Parent/carer signature ___________________________________
Date ___________________________________
Your photos, film or audio recording will be kept for five years.
X X	If you want us to stop using your photos, film or audio recording, email us on InternshipsWork@ndti.org.uk
If your photo, film or audio recording has already been used we will not be able to recall it. But we can make sure it’s not used again in the future. For more information on how we use your data and your rights as a data subject, please visit www.ndti.org.uk/privacy-policy