ADR Pre-Project Survey - Page 1 of 4 - Ards and North Down Borough Council

1. Your name

(Required)

2. Email address:

(Required)

3. Please provide your National Insurance number below:

(Required)

4. Please provide your address and postcode in the box's below:

Address (Required)

Postcode: (Required)

5. What is your current Employment Status? Select the option or options below that best represents your employment status.

(Required) Employed Full Time Permanent Employed Part Time Permanent Employed Full Time Temporary Employed Full Time Temporary Self Employed Not in work but looking for employment Not in work and not looking for employment

Other:

6. If you are currently NOT in work and NOT looking for employment, then please select the option below which best describes you.

Full time student Retired Looking after dependants(s) Sick/disabled Other

Other:

7. How many hours do you normally work per week?

(Required)

8. Highest qualification

(Required) GCSE or equivalent (for example, NVQ level 1 or 2) A level or equivalent (For example NVQ Level 3) Foundation Degree or equivalent Undergraduate degree Master's Degree Other None

If other please state:

9. Do you currently get benefits? If yes, please select all that apply below:

(Required) Yes No Prefer not to say

Universal Credit Jobseeker's Allowance Employment Support Allowance Housing Benefit/ Rate Relief Income Support Other

Other:

10. Is this your first Labour Market Partnership project you have taken part in?

(Required) Yes No Not sure

If no or not sure, please list the other projects:

11. Level of agreement with these statements:

(Required)

12. This ADR training is fully funded. However, if you fail to attend or do not complete the course without a valid reason, you may be liable to reimburse the full cost of the training.

(Required) I understand and agree to these terms

13. After the training has finished the Ards and North Down Labour Market Partnership will contact you for an update on your employment status.

(Required) I understand and agree to provide feedback when it is requested

14. Please confirm, by ticking below, that you give consent for the Council/ Ards and North Down LMP to contact you. You retain the right to withdraw your consent and can do so at any time by contacting LMP@ardsandnorthdown.gov.uk. You have a right to see and review the information held on you. If you wish to request your personal information or have a data protection query, please put your request in writing, stating clearly who you are and your query to: Data Protection Officer, Ards and North Down Borough Council, City Hall, The Castle, Bangor, BT20 4BT, email: dataprotection@ardsandnorthdown.gov.uk, Telephone: 0300 013 3333 or visit the Council’s website at www.ardsandnorthdown.gov.uk Ards and North Down Borough Council/ Labour Market Partnership will use your information:

To deliver the ADR Training
To monitor the effectiveness of the ADR Training
To monitor Equality of opportunity
For audit, compliance and regulatory reporting purposes where there may be disclosure of your information to auditors and, if required, to government and non governmental regulators
And/or in such other circumstances where there is an obligation to do so, or as the law permits

(Required) Yes No