Diversity, Equity and Inclusion (DEI): Infrastructure Support Booking Form

The Safer Communities Alliance is offering 
FREE 1-1 coaching for Practitioners, Businesses, CICs, Communities and Charities. These sessions will provide a clear and concise framework for advancing DEI in the voluntary sector, with the purpose of providing organisations and funders with clarity on their current DEI needs and assist. 

Please complete the details below to book now!   

Thank you so much for your time and interest.
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Full name and name of organisation  *
Contact number *
Email Address *
What is your ethnicity?
*
What is your gender? 
*
If you prefer to use another gender identity, please state below
Please select which date would you like to book. (Please note that if there is a preferred date you would like which is out of hours, we can be flexible - please state this date in 'other') *
1-1 sessions 
Please select which date would you like to book. (Please note that if there is a preferred date you would like which is out of hours, we can be flexible - please state this date in 'other')
*
Group Gatherings  
Please select which date would you like to book. (Please note that if there is a preferred date you would like which is out of hours, we can be flexible - please state this date in 'other')
*
Please describe your current knowledge of DEI *
How is the cost of living impacting your service? *
Is there an increase in demand due to changes in cost of living? *
On a scale where 1 is unlikely and 10 is highly likely, how likely are you to contact a funder directly, when needing help? 
Clear selection
Would there be any particular reason why you wouldn’t directly contact a funder?  *
What other help do you or your organisation need? Please select all that apply.  *
Required
If other, what other help do you need? *
Would you be interested in being added to our mailing list ?  *
Is there any additional infrastructure support you need that we could potentially help with, or sign post you to? *
Would you be interested in any other training courses run by Safer Communities Alliance? Tick all that apply.
Safer Communities Alliance and/or other local partners may take photographs and/or videos of those in attendance with you while participating in  events. These images may appear in our printed publications or on our website. The photos/videos may also be used for marketing, social media and evaluation purposes. Do you give permission for Safer Communities Alliance to take photos and/or make video recordings of those in attendance with you, for the reasons stated above? *
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