School Name:

School Address:

Post Code:

Website

School Contact Number:

Position:

Email Address

Contact Name:

Contact Number:

Describe the main challenges faced by boys in your school, particularly those growing up without fathers or positive male role models.

How many Year 7 boys are currently enrolled in your school?

How does your school currently support boys’ emotional well-being and mental health?

Why is your school interested in participating in the Lad Pods pilot programme?

What outcomes do you hope to achieve for boys participating in the programme?

To implement the flagging of boys with absent fathers / limited access to male role models and liaise with feeder Primary Schools. To implement the flagging of boys with absent fathers / limited access to male role models and liaise with feeder Primary Schools. Yes No

Team to attend at a ½ day training session. Team to attend at a ½ day training session. Yes No

To identify 16 Year 7 boys who would benefit from Lad Pods. (8 to take part, and 8 for a control group). To identify 16 Year 7 boys who would benefit from Lad Pods. (8 to take part, and 8 for a control group). Yes No

To commit to running the 12-week Lad Pods programme during the pilot period (September – December 2025). To commit to running the 12-week Lad Pods programme during the pilot period (September – December 2025). Yes No

To engage in evaluation activities to measure the programme’s impact. To engage in evaluation activities to measure the programme’s impact. Yes No

If you will not be able to meet any of the above requirements, please provide detail:

Are there any specific needs, circumstances, or questions your school would like us to consider?

Confirm Confirm I confirm that I am authorised to submit this application on behalf of my school. I understand the commitments involved in participating in the Lad Pods pilot programme and agree to work collaboratively with Lads Need Dads CIC to deliver this initiative.

Name:

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