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growing up in the west midlands
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Welcome to G:up. This site is for people involved in voluntary and community organisations working with children, young people and families in the West Midlands region. If that sounds like you. then please register. We also welcome people from statutory youth and children's services who have an interest in our work. We have kept the registration process as simple as possible. Only those fields marked with a red star have to be completed. However, please do provide as much information as possible. This will enable you to make future event bookings or take part in consulations without having to provide the same old information time and time again! We will not pass on personal information to third parties. The information you give about your organisation is not private and will enable other people to find out about you and your work!
1 Personal Information
Full name:
*
Account information
Username:
*
Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.
E-mail address:
*
A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.
1 Personal Information
organisational role:
*
staff (voluntary or paid)
trustee/committee member
Participant
Please give your main role in the organisation mentioned. The content of this field is kept private and will not be shown publicly.
Date of Birth:
*
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This is information is only available to the site user administrators, and will be used for the purpose of auto-generating invitiations to take part in age-specific consultations, and for data anaylsis. The content of this field is kept private and will not be shown publicly.
disability:
if you consider yourself to have a disability, please let us know. This information will be accessible only by administrators and used for consultation and monitoring purposes. The content of this field is kept private and will not be shown publicly.
ethnic origin:
Tow do you describe your ethnicity. This private information will be used for evaluation purposes for for the analysis of consultation data. The content of this field is kept private and will not be shown publicly.
gender:
--
female
male
this private information will be available to administrators and used for evaluation purposes and analysis of consultation information. The content of this field is kept private and will not be shown publicly.
dietary requirements:
--
none
vegetarian
vegan
halal
kosher
other
please indicate your dietary requirements (this information will be visible only to administrators and will be used for any event bookings you make through the site) The content of this field is kept private and will not be shown publicly.
Dietary requirements - other:
if you chose the 'other' option above, please specify your dietary requirements here. This information will be used for event bookings. The content of this field is kept private and will not be shown publicly.
access requirements:
please let us know of any access requirements you may have. This information will only be available to administrators and will be used for event bookings made through this site. The content of this field is kept private and will not be shown publicly.
Mobile phone number:
Your mobile number. This site uses the number to send you (sms) text messages. Take care of the format: use 44xxxxxxxxx. So use 44 (country code UK), and then your number without the zero prefix. Do not use any spaces or dashes. example: 447812345678 We will not pass your number on to others and will only make use of this for purposes of consultation and information sharing. By entering your mobile you agree to this. At any time you can edit your preferences and remove your number. The content of this field is kept private and will not be shown publicly.
2 Organisational Contact
Organisation's name:
*
please give the children or young people's organisation with which you are associated
organisations phone:
organisations website:
the URL of your organisation's website if applicable, please give the full address begining with http://
2 Organisational contact
organisations email:
please give a contact email address for public use by people wanting to get in touch with your organisation.
3 Organisational Information
type of organisation:
*
voluntary or community sector
private or business sector
public sector
organisations role:
*
infrastructure
delivery
both
whether your organisation supports other organisations to do their work (infrastructure), works directly with participants (delivery) or does both.
description:
please give a brief description of your organisation and its main activities, so other users can find out more about it.
Location of organisation's work
regional (or beyond)
please tick if this is an area in which your organisation works
Stoke-on-Trent
please tick if this is an area in which your organisation works
Staffordshire
please tick if this is an area in which your organisation works
Telford and Wrekin
please tick if this is an area in which your organisation works
Shropshire
please tick if this is an area in which your organisation works
Wolverhampton
please tick if this is an area in which your organisation works
Walsall
please tick if this is an area in which your organisation works
Sandwell
please tick if this is an area in which your organisation works
Dudley
please tick if this is an area in which your organisation works
Solihull
please tick if this is an area in which your organisation works
Birmingham
please tick if this is an area in which your organisation works
Coventry
please tick if this is an area in which your organisation works
Warwickshire
please tick if this is an area in which your organisation works
Worcestershire
please tick if this is an area in which your organisation works
Herefordshire
please tick if this is an area in which your organisation works
Organisation age range
our organisation works with children under five years old
please tick if this applies
our organisation works with children and young people 5-12 years old
please tick if this applies
our organisation works with young people 13-19 years old
please tick if this applies
our organisation works with young adults 20-25 years old
please tick if this applies
CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
What code is in the image?:
*
Copy the characters (respecting upper/lower case) from the image.
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