Equality North East » Members

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First Name
Surname
Email Address	* You will be asked for your email address when you log-in to the website.
Password	* You will be asked for your password when you log-in to the website. Please choose a password between 4 and 20 characters long.
Indicate your employment status	Employed Unemployed Other (please provide details below
Employer Name (if applicable)
Occupation (if applicable)
Website Address (if applicable)
Gender	Male Female
Age	Between 16 and 25 Between 26 and 40 Between 41 and 60 61 or over
Are you disabled?	Yes No
Ethnic Origin	These Classifications are as recommended by the Commission for Racial Equality. The information will be collated to ensure the relevance and accessibility of our website.

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Alternatively, please contact Equality North East on 0191 426 4399 or via email at .