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Moving On - Registration Form
Registration Form
To register to our programme, please fill out the form below.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Surname
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age
*
Your answer
Gender
*
Male
Female
Transgender
Non-binary
Prefer not to say
Ethnicity
*
White British
White European
Black / Black British African
Black / Black British Caribbean
Black / Black British Somali
Asian / Asian British Bangladeshi
Asian / Asian British Pakistani
Asian / Asian British Indian
Any Other Group
Mobile Phone
*
Your answer
Address
*
Your answer
Post Code
*
Your answer
Are you a resident of Tower Hamlets?
*
Yes
No
Required
Do you have a disability or special needs that we should be aware of?
Your answer
Tell us a bit about yourself and why you are interested to take part in our employment programme
Your answer
I consent to Trapped in Zone One using photographs and/or video recordings taken during the activities for the purposes of internally and externally promoting Trapped in Zone One. These images could be used in any media including print and digital media formats such as press/local paper, website, e-marketing, posters, promotional leaflets, banners, advertising, film and social media purposes. If you wish to discuss any matter further, please contact
hello@trappedinzoneone.com
I Agree
Trapped Zone One is committed to processing information in accordance with the General Data Protection Regulation (GDPR). I give consent for my personal information to be used for the monitoring and evaluation purposes of this project.
I Agree
Send me a copy of my responses.
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