PART A: YOUR CONTACT DETAILS

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* 1. Your Title:

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* 2. First Name(s)

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* 3. Surname:

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* 4. Occupation:

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* 5. Company / Organisation (if applicable):

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* 6. Address:

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* 7. Town/City:

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* 8. Postcode:

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* 9. Country (if outside U.K.)

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* 10. Daytime telephone:

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* 11. Mobile:

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* 12. Email:

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* 13. If you have any special requirements in terms of how we respond to you (e.g. using typetalk), please let us know:

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* 14. PART B: COMPLAINT

If you are referring to a specific incident, please confirm when this happened and who you were in contact with

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* 15. Please give details of your complaint in the box below.

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* 16. What outcome would you like to see from making this complaint?

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* 17. Privacy Notice

ScreenSkills (’we’, ‘us’) complies with General Data Protection Regulations (GDPR) and any other applicable data protection legislation in the UK. We take your privacy very seriously and will only use your personal information to administer your record and to provide services you have requested from us.

We will use this personal information you provide us to deliver a service, maintain your records and,  if you agree and subscribe, to send you marketing information in the form of newsletters and e-mailshots containing details and information about ScreenSkills programmes, events and other relevant activity. 

ScreenSkills will sometimes share your information with our partner companies, with whom we are jointly delivering specific project or a scheme e.g.  BFI.  No other third parties will be given access to your personal data unless required by law to do so. 

We have appropriate security measures in place allowing only relevant staff to access and process your personal information via secure IT systems and internal processes. We will only retain your information for appropriate amount of time which is in line with our Records Retention Policy (as a way of an example, HRMC related records for 6 years + 1 current year).

We may transfer your personal information outside of UK and European Economic Area (EEA) countries. We meet our obligations under GDPR by ensuring that the information has equivalent protection as if it were being held within the EEA (e.g. EU-US Privacy Shield Framework

For more information explaining how we use your information please see the following:

ScreenSkills General Privacy Policy

If you have any questions relating to our data protection practices, please get in touch with ScreenSkills Data Protection Officer(s): data.protection@screen.skills.com

For the purposes outlined above and according to the ScreenSkills Privacy Policy, I consent to this provision of my personal information for processing and storage.

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* 18. DATE

Date / Time

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