Referral Information

Please complete the information below if you would like to access employment services through Buzz Lockleaze.

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* 1. Please enter your name

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* 2. Your address:

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* 3. Contact phone number

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* 4. Contact email address

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* 5. What type of support do you need?

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* 6. If you're job seeking can you tell us what types of work are you looking for? (include any salary or grade required)

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* 7. If you're job seeking what hours of work can you do?

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* 8. Consent. I agree to share my data with Buzz and for them to hold this data on their secure database.

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* 9. I agree for Buzz to contact me with information on jobs, training, events, volunteering and support.  Please tick how you would like to be contacted.

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* 10. Would you like to receive the Buzz client newsletter?  It contains information on job seeking, training, support and local jobs (newsletter is sent monthly)

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