Women’s Workplace Wellness Advocates – Registration

Personal Details

Name*

First

Last

Date of Birth*

Day

Month

Year

Address

Region*

Postcode*

Phone

Email*

Gender

Gender*

Female

Male

Other

Prefer not to say

Ethnicity

How would you describe your cultural identity?*

Business Details

Do you work in a Business?*

Yes

If yes, what is the business name?

Is the business classed as a SME (250 or less employees)

Yes

Please let us know if you are happy to receive further information about the project?*

I am happy to receive further information

I do not wish to receive further information

The Platform

Why do you want to access the programmes and resources on the platform?*

By completing this form, you agree and understand that data collected on this form is a requirement to enable support to be provided by this project. This project is registered under policies and procedures to meet the requirements of the General Data Protection Regulation (GDPR) and this information will only be shared with other organisations, such as our funders, for statistical and research purposes. Occasionally our funders may want to contact clients to ask questions about our service provision.

You have the right to view and amend this information at any time by contacting programmesupport@thewo.org.uk and that our full Data Management Policy is available to view on request.

* Required Field