Resident Training Programme 2017 / 18 RESIDENT TRAINING PROGRAMME 2017 / 18 Question Title * 1. NAME OK Question Title * 2. ADDRESS ADDRESS ADDRESS ADDRESS ADDRESS OK Question Title * 3. TELEPHONE NUMBER OK Question Title * 4. EMAIL ADDRESS OK Question Title * 5. DO YOU LIVE IN TOWER HAMLETS? YES NO OK Question Title * 6. WHO IS YOUR LANDLORD? EAST END HOMES GATEWAY METROPOLITAN NEWLON ONE HOUSING POPLAR HARCA PROVIDENCE ROW HA SPITALFIELDS HA SWAN TOWER HAMLETS COMMUNITY HOUSING (THCH) TOWER HAMLETS HOMES (THH) Other (please specify) OK Question Title * 7. COURSE AVAILABILITY - PLEASE TICK ALL THAT APPLY OK Question Title * 8. IF YOU HAVE ANY DIETARY REQUIREMENTS, PLEASE SPECIFY OK Question Title * 9. DO YOU HAVE A DISABILITY? IF YES, PLEASE SPECIFY OK Question Title * 10. DO YOU REQUIRE MOBILITY TRANSPORT? YES NO OK Question Title * 11. TO ENSURE WE ARE DELIVERING ACCESSIBLE, INCLUSIVE & FAIR SERVICES TO ALL SECTIONS OF THE COMMUNITY WE ASK THE FOLLOWING QUESTIONS. ALL OF THESE QUESTIONS ARE OPTIONAL, THEREFORE THERE IS NO OBLIGATION FOR YOU TO COMPLETE IF YOU WOULD PREFER NOT TO TELL US DATE OF BIRTH GENDER ETHNICITY RELIGION & BELIEF SEXUAL ORIENTATION GENDER IDENTITY OK DONE