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Welcome to Shoreline Housing Partnership Welcome to Shoreline Housing Partnership

creating communities to be proud of

community voice online form

Registration Form

Please complete this form to register your interest in Shoreline Community Voice. By joining and taking part in at least two activities a year, you could be in with a chance of winning one of three £100 prize draws a year. Please read the prize draw rules. * adobe acrobat icon (18kb)

Your name
Your address
Your postcode
Your email address
Your daytime telephone number
Your mobile telephone number


I would like to be involved in: (tick all that apply)
commitment circle 1
 
Receiving and commenting on services via email
   
Editorial team - armchair participant Attending exhibitions
Completing surveys Neighbourhood walkabouts

commitment circle 1 commitment circle 1
Discussion and focus groups Editorial team - pop-in participant
Sheltered accommodation focus group Joining a resident group
Mystery shopping Area Delivery Team member

commitment circle 1 commitment circle 1 commitment circle 1
Working group Service Review Panel
Policy Review Group Resident Inspectors

commitment circle 1 commitment circle 1 commitment circle 1 commitment circle 1
 
Shoreline Board membership Regulatory Panel member

 

Equal Opportunities Monitoring

Please complete this section, which is voluntary and will not be made available to any third parties. The information you give will be used by us to promote equalities and for monitoring and statistical analysis. By completing this form you are giving your consent for this information to be processed.
My age group is:
16-24 25-34 35-44 45-54 55-59  
60-64 65-74 75-84 85+ Prefer not to state

My ethnic origin is:
White Black or Black British
White British
Caribbean
White Irish
African
any other White background
any other Black background
please state  
please state
 
       
Mixed   Asian or Asian British  
White and Black Caribbean
Indian
White and Black African
Pakistani
White and Asian
Bangladeshi
   
Chinese
any other Mixed background
any other Asian background
please state  
please state
 
       
Any other ethnic group  
any other ethnic group
Prefer not to state

Are you? Male Female Prefer not to state

Are you? Married Single Prefer not to state

Do you consider yourself to have any disability or long term illness that limits your daily activity?
  Yes No Prefer not to state

My religion is:  
None   Muslim
Christian (all denominations)   Sikh
Buddhist   Prefer not to state
Hindu   Any other religion
Jewish   please state

My sexual orientation is:  
Heterosexual   Bisexual
Gay man   Prefer not to state
Gay woman   Other
      please state

Once we have received this form we will send you more details. We may invite you to sessions that will provide you with more information about the activities you are interested in or your role.

 

* The prize draw rules is an Adobe Acrobat pdf file.

You will need Adobe Reader software to view it. If you do not have the software installed on your computer, you can download it for free by clicking on the icon below.

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The rules will open in a new window.

 

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