Apply to be a Disability Champion
Do you want to become part of this exciting project?
Use the form to apply to become a Disability Champion. We will add your name to our distribution list so that you receive all the latest news about the project and associated training courses etc..
Your name
Your Address
Post Code
Your email address
Your phone number
Your trade union
Your employer
The following questions and criteria are to meet the monitoring requirements of a European funded project
Your Gender
Male
Female
Do you consider yourself to be a disabled person?
Yes
No
Are you aged 50 or over?
Yes
No
Does your employer employ more than 250 people?
Yes
No
Which of the following best describes your job?
Managers and administrators
Professional
Associate professional/technical
Clerical secretarial
Craft and Related
Personal, Protective, Healthcare
Sales
Plant and machine operators
Other
Which of the following best describes your ethnic origin?
White British
White Irish
White Other
Mixed White Black Carribean
Mixed White Black African
Mixed White Asian
Mixed Other
Asian Indian
Asian Pakistani
Asian Bangladeshi
Asian Other
Black Carribean
Black African
Black Other
Chinese
Other
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