Barts Health Community Works for Health Project

Where did you hear about the programme?

Please state

Participant Details

Title

Forename

Surname

Mobile Phone No.

Email Address

Are you a resident of Waltham Forest

Address

Postcode

Date of Birth

Gender

Ethnicity

Other Ethnicity

Current Situation

Employed?

If unemployed, please state how long:

Are you currently studying

Do you have any medical issues, learning or any disabilities:

YesNo

Do you have any past convictions spent and non-spent or anything that could appear on a DBS?

YesNo

Course Avaibility

Are you committed to finding employment with the NHS?

YesNo

Are you willing to attend and assessment and information session?

YesNo

Can you commit to a one-week training course (9.30am to 4pm

YesNo

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