Register Your Interest

Leading in Leicester and Leicestershire is a Reaching People project. Please complete this form and inform us of which area you are interested in and someone from the Leadership team will be in touch with an update.

Leading in Leicester and Leicestershire Application Form

Programme Applied for:

If your chosen programme is more than one day, which day or days will you be attending?

Title:

First Name(s):

Surname:

Address:

Postcode:

Telephone:

Mobile:

Email:

Organisation (You work for, volunteer for or are associated with):

Line Manager / Supporting Manager:

Telephone:

Email:

Describe what you currently do in the community or within your organisation, your role and responsibilities:

Looking at the brief for the programme, which of the areas do you feel will benefit you the most?

Please give brief details of your qualifications, recent training and skills:

If you could change one thing within the community or your organisation, what would it be?

If you are working or volunteering, does your organisation support your attendance on this course?

I understand GDPR:

Signature:

Date:

Equality and Diversity Monitoring

Equal Opportunities

Reaching People is committed to providing an environment where everyone is respected and valued. At Reaching People, we work to eliminate all forms of discrimination and actively challenge perceived discrimination or inequality wherever this is seen. Our full equality and diversity policy is available from leadership@reachingpeople.co.uk

Name:

Which programme are you attending?

How did you hear about this programme?

I would describe my ethnic group as:

Do you consider yourself to have a disability?

If Yes, Please let us know if you require any reasonable adjustments e.g. special access requirements or learning needs:

Age:

Religion or Beliefs:

Gender:

Marital Status:

For more information please get in touch with Leadership at Reaching People

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Register Your Interest

Register Your Interest

Leading in Leicester and Leicestershire Application Form

Equality and Diversity Monitoring

Equal Opportunities

For more information please get in touch with Leadership at Reaching People

For more information please get in touch with Leadership at Reaching People

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