Equality North East

The National Lesbian, Gay, Bisexual and Transgender Health Summit
Changing Times, Challenging Times, Dignity - Life - Equality

6th - 7th October 2009 at The Hilton Hotel, Newcastle/Gateshead

Please complete the following details to register for the 2009 LGBT Health Summit
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The Summit is free to attend. There are a limited number of places (180), application will not guarantee a place and will be allocated on a first come first served basis. However, delegates who register and fail to attend and do not communicate with the organisers will be invoiced for an administration fee of £50 charged to your organisation.
The LGBT Health Summit recognises that diversity consists of both visible and non-visible differences and it is the valuing and harnessing of these differences which results in a varied, creative, evolving and productive community.

The personal information requested in this form will help us to comply with the requirements from our statutory sector partners and helps us ensure that the approach of the summit is fair and effective. The information provided will be treated in strictest confidence and will be processed in accordance with the Data Protection Act 1998.

If you would prefer not to answer any individual questions then please indicate that. The responses that you do give will assist us greatly with our commitment to diversity.
Age *
Gender *
Birth Gender *
Do you consider yourself to be transgender? *
Do you consider yourself to have a disability? *
If yes, what does your disability affect?
Tick all that apply






How would you describe your ethnicity? *
If other, please specify
How would you describe your faith? *
If other, please specify
How would you describe your sexual orientation? *
If other, please specify
Do you have any other information or feedback about this Diversity Monitoring form that could be useful for our data collection?
 

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