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VCSE Energy Efficiency - Webinar Booking Form
Tuesday 11 June at 12.30pm.
VCSE Energy Efficiency Scheme – Webinar booking form June 2024
Please complete one form per delegate
Name
First
Last
Delegate organisation (Please type the full name of your organisation without any punctuation or acronyms)
Delegates email
(Required)
Delegates phone number
Who do you provide frontline services for?
Please tell us if your organisation supports people from a particular demographic. We define this as 75% or more of the people you support sharing a characteristic If the support your organisation provides is not targeted at a specific demographic, but is open to all, then please tick not targeted.
Not targeted
My organisation is aimed at a specific group of people
If you have confirmed that your organisation is aimed at a specific group of people, please tick the boxes below if 75% or more of the people supported are from these groups. Please tick all that apply:
Communities experiencing ethnic or racial inequity, discrimination or inequality
Faith communities including: Catholic, Protestant, Muslim, Hindu and Jewish
People who emigrate including: people seeking asylum or people with refugee status
Disabled people, including: having physical difficulties, neurodiversity or mental health conditions
Older people (65 and over)
Younger people (under 25)
Women and girls
LGBTQ+ people
People who are educationally or economically disadvantaged including those experiencing homelessness
Specific groups that are not included already
None of the above
Please tick one or more boxes identifying the main themes of your frontline services. If you tick the box for Community hub or centre out of which a number of these services operate, please also tick at least one of the other boxes to tell us which services operate out of this hub.
Services that address poverty, including by providing food, warmth, emergency supplies and personal grants
Shelter, accommodation and housing for those most in need
Education, training and employment services that improve employability
Advice services for people experiencing financial, housing or legal challenges
Services that address specific physical and mental health issues (such as disability, addiction and dementia)
Community hub or centre out of which a number of these services operate
Other
How did you hear about this webinar opportunity?
(Required)
Via The Good Trouble Collective
Via the Money4YOU
Via the Caribbean and African Health Network
Better Society Capital/Good Finance
Other
If ticked 'Other' please state where.
Declaration
I agree that by submitting this booking form, I am providing data, including personal details, to Locality, to Groundwork UK and the VCSE Energy Efficiency Scheme partners (Social Investment Business (SIB), Groundwork Trusts, Energy Saving Trust (EST), Centre for Sustainable Energy (CSE) The Good Trouble Collective, Money4YOU and CAHN – Caribbean and African Health Network. Information will also be shared with the funder Department for Digital, Culture, Media and Sport (DCMS), the external scheme evaluator (Ecorys) and, the assurance provider (Government Internal Audit Agency) to allow them to carry out their functions in relation to the Scheme. Groundwork UK is the data controller and contract holder (ICO registration number Z6601182) responsible for personal data about the Energy Efficiency Scheme. Groundwork’s Privacy Statement explains how we keep, use and protect your data. Please indicate that you accept these terms by ticking the box.
(Required)
I have read the privacy statement (https://www.groundwork.org.uk/privacy-policy/) and I accept these terms