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Expression of Interest Form: CHWA West Midlands Regional Champion and Steering Group Members 2021
Thank you for your interest in joining peers and becoming more involved in CHWA development in the West Midlands.
Important Dates
Applications open: Friday 15 October, 2021
Applications close: Friday 12 November, 2021
Regional Champion interviews with members of the West Mids steering group: December 2021
Appointed to start: January 2022
Application Process
Complete this short expression of interest form and the Equality, Diversity and Representation form:
https://forms.gle/KkLmGBnGi6ex3ZfE9
Applications will be reviewed by the West Mids Steering Group and the central CHWA Team and shortlisted candidates will be invited to a short interview. Applicants interested in the steering group will be contacted separately.
For further information
Head to the Call Out Advert:
https://www.culturehealthandwellbeing.org.uk/news/call-out-chwa-west-mids-regional-champion-arts-and-steering-group-members
To find out more about the role or to ask any questions, please contact Hayley at
info@culturehealthandwellbeing.org.uk
To learn more about what's happened so far in the region, head to the West Mids page:
https://www.culturehealthandwellbeing.org.uk/your-area/west-midlands
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Email
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Your email
Name:
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Your answer
Contact Number:
Your answer
Where are you based in the West Midlands?
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Black Country (Walsall, Dudley, Wolverhampton, Sandwell)
Birmingham
Warwickshire (Coventry, Warwick, Stratford-on Avon, Rugby, Nuneaton and Bedworth, North Warwickshire)
Worcestershire (Worcester, Malvern Hills, Wyre Forest, Bromsgrove, Redditch, Wychavon)
Staffordshire (Stafford, Cannock Chase, Lichfield, Tamworth, Stoke-On-Trent, East and South Staffs, Staffordshire Moorlands and Newcastle Under Lyme)
Shropshire (Shrewsbury, Telford and Wrekin, Bridgnorth, Ludlow, Newport)
Other:
What is your job title/role or how to do you describe your work?
Your answer
What is your employment status?
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Employed (part-time or full-time)
Self-employed/freelance
Carer
Volunteer
Unemployed
Other:
If employed, please let us know who you work for...
Your answer
Are you a member of the CHWA alliance?
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Yes
No
The Roles
Both roles are voluntary.
Please head to the main Call Out to find links to the role descriptions:
https://www.culturehealthandwellbeing.org.uk/news/call-out-chwa-west-mids-regional-champion-arts-and-steering-group-members
Please let us know what roles you are interested in:
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CHWA West Midlands Regional Champion- (Arts)
CHWA West Midlands Steering Group member
Both roles
Tell us why you believe you are well placed to be part of the CHWA West Midlands Steering Group and/or CHWA West Midlands Regional Champion. Why is culture/health and wellbeing important to you? What skills, experience and links can you bring to the role? (100-150 words maximum)
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Your answer
Equality and Representation Monitoring
The Culture, Health & Wellbeing Alliance (CHWA) recognises that certain individuals and groups are discriminated against on grounds of disability, race, ethnic origin, culture, socio-economic background, gender, sexuality, religion, creed, marital status and age. The Culture, Health & Wellbeing Alliance is committed to working towards eliminating all forms of discrimination both through its own work and through its employment policies and practices.
We are particularly keen to ensure the bursaries are representative in relation to the protected characteristics recognised in the Equality Act 2010, as well as class and socioeconomic status.
Please find the list of protected characteristics here:
https://www.equalityhumanrights.com/en/equality-act/protected-characteristics
Please copy and paste the link below in a new window to complete the Equality and Representation Monitoring form;
https://forms.gle/ajGmRtbwGcQafMwu5
Have you completed the Equality and Representation Monitoring form?
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Yes
No
I require the monitoring form in a different format
Thank you!
Thank you for taking the time to complete this form and we will be in touch as soon as possible to let you know next steps!
Stay safe and well,
The Culture, Health and Wellbeing Alliance
A copy of your responses will be emailed to the address you provided.
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