DofE Success Stories (individual) – details form

Personal details

First name / Surname
Gender / Male / Female / Date of birth
Ethnicity [1] / Please select from the listPrefer not to sayAsian / Asian BritishIndianPakistaniBangladeshiBlack / Black BritishCaribbeanAfricanChineseDual heritageBlack Caribbean and whiteBlack African and whiteAsian and whiteRoma and travellersRomaIrish travellerWhiteWhite BritishWhite IrishOther
Any additional needs
Personal circumstances
Home town
Other info
Previous Award(s) achieved / Bronze / Silver / Gold
Photo of participant received? / Yes / No / Model form received?[2] / Yes / No
Would you be willing to talk to the media about your experience? / Yes / No

Current level

Centre / Group
Current/highest level / Bronze / Silver / Gold
Volunteering
Physical
Skills
Expedition (mode of travel, aim & location)
Residential

Contact details

Leader / Participant
Address / Address
Town / Town
Postcode / Postcode
Phone / Phone
Mobile / Mobile
Email / Email

Leader’s comments

Questions for the participant

How were you introduced to the DofE?
Why did you decide to start your DofE?
Who has helped you do your DofE and achieve your Award(s)? Did they help/inspire/motivate you?
How has the DofE inspired you?
What challenges have you faced and how have you overcome them?
What successes have you had whilst doing your DofE?
What skills have you learned through doing your DofE (e.g. confidence, teamwork as well as practical skills)?
How do you feel the DofE has affected you? What difference has doing your DofE made to your life?
What has been your most memorable experience?
How do you think achieving your Award(s) and the skills you’ve learned will help you in your future (i.e. for further education/career/personally)?
What are you doing now? Has your Award(s) helped you to do this?

Quote from the participant

[1] Please complete ethnicity, additional needs and personal circumstances (e.g. young carer) if known. They are not mandatory.

[2] We recommend a model release form is signed by all participants, and parent/guardian for anyone under 18. Please note if you are submitting this story/image without a model release form to the DofE then we have understood that you have gained permissions for these to be used before submission and the DofE can therefore use this information in its materials. Please read our editorial submission policy at