Young Network: registration form

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Thank you for your interest in the YouNG Network! Before we get started, please confirm that you are aged 25 or under, and that you live in social housing in Nottingham:

Yes, I'm 25 or under, and I live in social housing in Nottingham

How would you like to get involved with YouNG Network?

Please send me emails about the YouNG Network, including events

Please send me information about the paid volunteering roles

About you

Name:

Email address:

Phone number:

Address line one:

Address line two (optional):

Town or city:

Postcode:

Age:

Your current home

Are you renting your own home?

Yes

If you're renting your own home, who is your landlord?

If you're not renting your own home, who do you live with?

Equality and diversity

If you're comfortable with it, it would be helpful to use if you could answer the following questions. Your answers will help us make sure that we are reaching everyone who should have a say in housing.

Do you consider yourself to have a disability?

Yes

I'd prefer not to say

Sex and gender

Female

Male

Prefer not to say

Is the gender you identify with the same as your sex registered at birth?

Yes

Prefer not to say

Which of the following best describes your sexual orientation?

Heterosexual or straight

Gay or lesbian

Bisexual

Prefer not to say

Other

This is required

Young Network: registration form

Thank you for your interest in the YouNG Network! Before we get started, please confirm that you are aged 25 or under, and that you live in social housing in Nottingham:

How would you like to get involved with YouNG Network?

Name:

Email address:

Phone number:

Address line one:

Address line two (optional):

Town or city:

Postcode:

Age:

Are you renting your own home?

If you're renting your own home, who is your landlord?

If you're not renting your own home, who do you live with?

Ethnic origin:

Asian or Asian British

Black, Black British, Caribbean or African

Mixed or multiple ethnic groups

White

Other ethnic group

Do you consider yourself to have a disability?

Sex and gender

Is the gender you identify with the same as your sex registered at birth?

Which of the following best describes your sexual orientation?

Young Network: registration form

Page 1

Thank you for your interest in the YouNG Network! Before we get started, please confirm that you are aged 25 or under, and that you live in social housing in Nottingham:

How would you like to get involved with YouNG Network?

Name:

Email address:

Phone number:

Address line one:

Address line two (optional):

Town or city:

Postcode:

Age:

Are you renting your own home?

If you're renting your own home, who is your landlord?

If you're not renting your own home, who do you live with?

Ethnic origin:

Asian or Asian British

Black, Black British, Caribbean or African

Mixed or multiple ethnic groups

White

Other ethnic group

Do you consider yourself to have a disability?

Sex and gender

Is the gender you identify with the same as your sex registered at birth?

Which of the following best describes your sexual orientation?