Event Signup

Patrington, East Yorkshire

VENUE: Patrington St Patrick
DATE: 08 Oct 2011
TIME: 10:00 - 16:00

Please complete a separate form for each person attending

Name

Address

Telephone

Email

Place of worship

Denomination

Existing volunteer role

How did you find out about the course?

Please tell us if you need any specialist access, equipment or other provision to help you to participate fully in the training day:

Would you be willing to be contacted after the course as part of our assessment and review process?

Yes
No

 

It would help us if you could also answer the following questions. One of the key aims of the Faith in Maintenance project is to reach a wide range of volunteers and this monitoring information will be used purely to help us see how well we are doing in this respect.

What is your age group? Please tick one:

13-25
26-49
50-64
65+

 

Do you regard yourself as having a disability?

Yes
No

 

What is your ethnic group? Choose ONE section from A to E, then tick the appropriate box to indicate your cultural background.

 

A: Asian or Asian British

Indian
Pakistani
Bangladeshi
Any other Asian background, please write in

B: Black or Black British

Caribbean
African
Any other Black background, please write in

C: Chinese

Chinese
Any other Chinese background, please write in

D: Mixed

White and Black Caribbean
White and Black African
White and Asian
Any other Mixed background, please write in

E: White 

British
Irish
Any other White background, please write in

F: Other

Any other background, please write in
 
Your 4-digit code is
5750