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Outreach Workshop Request Form – Community Groups

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Cymraeg

Outreach Workshop Request Form - Community Groups

In-person or online

Thank you for requesting a workshop from your local UK Parliament Outreach Officer. Please take two minutes to complete and return the below form and we will be in touch with you shortly.
Organisation name*
Organisation address*

Address Line 1

Address Line 2

City

Postcode
Nation/region*
- Scotland
- Northern Ireland
- Wales
- North East England
- North West England
- Yorkshire and the Humber
- East Midlands
- West Midlands
- East of England
- London
- South East England
- South West England
Contact name*

First

Last
Contact email address*
Contact phone number*
Organisation Type*
- Arts and Cultural Sector (e.g. museum, library and archives)
- Civil Society Organisation (e.g. charity, NGO, campaign)
- Public Sector Organisation (e.g. local authority, statutory body, government, amed forces, emergency services)
- Uniformed Organisation (e.g. Brownies, Scouts, Cadets)
- Youth Organisation
- FE College
- University
- Other
Which audience(s) does your organisation work with? (Tick all that apply)*
- People of a particular race or ethnic origin
- People with disabilities
- Long-term unemployed or unskilled workers
- Young people not in education or employment
- Women
- 16-24 year olds
- Under 16s
Which workshop would you like?*
- Your Community, Your UK Parliament – An Introduction (30 minutes)
- Are you influential? Get your voice heard in the UK Parliament (60 minutes including break)
- EMPOWER: A session designed for adults with learning disabilities (45 minutes)
- Take Action: Workshops designed for young people
Please indicate when you would like your outreach session*

Please give at least 6 weeks notice of requested date(s). Please note that this is subject to the availability of your local Outreach officer.
Expected group size*
Would you like this to be delivered in-person or digitally?
- In-person
- Digitally
- No preference
Do you have access to a suitable venue?*
- Yes
- No
What is the venue's postcode?*
Do any of your group’s participants have any accessibility requirements that you would like us to be aware of? Please specify:
Would you like your workshop to be delivered in Welsh?
- Yes
- No
Would you like a BSL interpreter for your group?
- Yes
- No
What was the first way you heard about this service?*
- Friends or family
- Leaflet / flyer
- Through my MP
- Word of mouth
- Google / search engine
- Online Advert
- Non-UK Parliament website
- Non-UK Parliament social media
- Non-Parliament Newsletter
- UK Parliament website
- UK Parliament social media
- UK Parliament Newsletter
- Other, please specify
If you were contacted by an Outreach Officer, please select ‘Other’ and provide more information when asked below.
Other*
Would you like to sign up to our Your UK Parliament newsletter?
- I want to sign up to the Your UK Parliament newsletter
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Privacy Notice

UK Parliament Education and Engagement Service will use the information that you provide only in relation to your request. We will process your personal information based on our legitimate purposes. When you engage us to book events, workshops, tours or similar activities at UK Parliament, we will process the personal data you provide in order for us to fulfil that contractual arrangement. If you select to receive the newsletter, we will process your data in accordance to the terms set out in our privacy policy. You have the right to ask for a copy of the information we hold on you, and the right to ask us to correct any inaccuracies in that information. For more information on how UK Parliament Education and Engagement Service uses personal data, please view our privacy policy.
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