Hertfordshire Equality Council – Creating a Hertfordshire where everyone is treated fairly, with dignity and respect

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Registration Form

Application Form to join the Hertfordshire Equality Council Consultation Panel

Fields marked with * are required

Personal Details

Name *

Email *

Gender *

Other Gender (Please Specify)

Phone *

Address

Post Code *

Are you applying as a:

Representative of a Local Group (Please Name)

As an Individual

Age Group*

Ethnic Origin *

What Faith are You? *

What Language you Speak? *

Employment

Present Employment Situation *

Which of the following sector you work in? *

Health

Do you consider yourself disabled? *

Have you any particular needs around the following (Please select & describe)

Physical Access

Literacy Issues

Language

Visual Impairment

Dietary Needs

Contacts

How do you wish to be contacted (you can select more than one)

Post

Telephone Interview

One to One Meeting

Panel / Group Meeting

Do you have own transport? *

Do you have childcare responsibilities? *

When is the best time to contact you? *

Perception of Agencies

Have you ever been a subject of Racist, disability, xenophobic etc, incident? *

Have you ever had any contact with the following agencies?

Hertfordshire Fire service

Hertfordshire Constabulary

Probation Service

Youth Offending Team

CPS

Hertfordshire County Council

Or Any of the Hertfordshire District / Borough Councils

If you have selected any of the above agencies please describe how you have been involved?

What was your perception of their service?

Hertfordshire Fire Service *

Hertfordshire Constabulary *

Probation Service *

Youth Offending Team *

CPS *

Hertfordshire County Council *

Or Any of the Hertfordshire District / Borough Councils *

Areas of Particular Interest

Crime / Policing

Disability

Domestic Violence

Employment or Recruitment Issues

Gay, Lesbian, Bisexual issues

General Equality and Diversity

Health and Safety

Race Issues

Religion & Faith

Women's Issues

Youth Issues

Stop & Search

Other Areas of Public Interest (Please Specify)

Thank you for completing the questionnaire, you will now be added to our database and information of upcoming events.

Consent

Consent for Data Handling

HEC requires your consent to process your personal information to proceed. If given, this will be done in accordance with our privacy policy, a copy of which can be found at Privacy Policy. By agreeing, you are giving us consent to email you about the HEC and other relevant information. Should you have any questions or wish us to remove your personal information please contact info@hertsequality.org

I consent to the information I have provided to be used, processed and stored

Our job is to promote equality and human rights, and to create a fairer Hertfordshire. We will do this by providing advice and guidance, to individuals and organisations, working to implement an effective equality plan and to raise awareness of your rights.

What is Racial Descrimination?
Report Hate Crime
Basic Rights of Arrest
Stop & Search Community Scrutiny Panel
Policy Development & Training
Black Lives Matter

Quick Contact

info@hertsequality.org
The Castle, Castle Street,
Hertford, SG14 1HR.

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Registration Form

Application Form to join the Hertfordshire Equality Council Consultation Panel

Personal Details

Employment

Health

Contacts

Perception of Agencies

Areas of Particular Interest

Consent

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HEC Funders, Partners, Advisors, Consultants

Register

HEC Funders, Partners, Advisors, Consultants