Working Voices Registration of Interest Form

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* Name of organisation

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* Type of organisation

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* Contact details

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* What type of workforce do you employ? (manual workers/office workers/retail etc.)

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* What is your estimated numbers of Leeds based employees?

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* Are there any priority health and wellbeing topics for your particular workforce? (i.e. any particular health or wellbeing issue that you wish to address or find out more about)

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* What is your preferred method of engagement?

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* Would you require any support to deliver these forms of engagement?

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* If yes what kind of support would you need in order to enable you to do this?

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* Eligibility Statement - in order to join the Working Voices project you need to have, or be working towards, the following (please select as appropriate)

  Already in place Working towards
Safeguarding policy and procedures
Public liability insurance
Employers liability insurance (if applicable)
Equality policy
Health & Safety policy

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* Availability (are there any times of year that your company would not be available i.e. peak selling times/factory close down etc?)

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* Signed

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* Print name

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* Date

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* On behalf of (name of company)

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