Careers in the Healthcare Industry - Registration Form
Participant Details
Title
Please select...
Mr
Miss
Ms
Mrs
Other
Forename
Surname
Mobile Phone No.
Email Address
Are you a resident of Waltham Forest
Please select...
Yes
No
Address
Postcode
Date of Birth
Gender
Please select...
Male
Female
Ethnicity
Please select...
Asian/Asian British - Bangladeshi
Asian/Asian British – Indian
Asian/Asian British – Pakistani
Asian/Asian British - Chinese
Asian/Asian British - Other (please specify below)
Black/Black British - African
Black/Black British - Caribbean
Black/Black British - Other (please specify below)
Mixed/Mixed British - White and Asian
Mixed/Mixed British - White and Black African
Mixed/Mixed British - White and Black Caribbean
Mixed/Mixed British - Other (please specify below)
White British - English/Welsh/Scottish/Northern Irish
White Irish
White Gypsy or Irish Traveller
White Other (please specify below)
Other Ethnic Group (please specify below)
Other Ethnicity
Current Situation
Employed?
Please select...
No
Yes
If unemployed, please state how long:
Please select...
0-6 months
6 - 12 months
12-24 months
2-3 years
3 years or more
Are you currently studying
Please select...
Yes
No
Part Time
Evenings
Weekends
Do you have any medical issues, learning or any disabilities:
Yes
No
Do you have any past convictions spent and non-spent or anything that could appear on a DBS?
Yes
No
By ticking this box you give consent for your personal information to be processed (based solely on the applicable data protection regulations) by the London Borough of Waltham Forest Employment and Opportunities service for the purpose of finding you a job or training opportunity.
You are also agreeing to be contacted by London Borough of Waltham Forest Employment and Opportunities service regarding other opportunities that we feel may be of interest to you. Your details will be held on our secure database in line with DP and GDPR legislation for the purposes as outlined above. We will treat all of your data as strictly confidential, in accordance with statutory provisions and will not share with any parties outside of the organisation.
To learn more about how your personal data will be used please click the ‘Your Rights Under GDPR’ link at the bottom of this page.
You can withdraw your consent at any time by contacting the service via email at:
OpportunitiesTeam@walthamforest.gov.uk
stating your full name and email address.
Contact Information
Your Rights Under GDPR