www.cwu-ccc.org
The official web site of the Central Counties Combined Branch of the Communication Workers Union
Home Latest News Members Area Equal Opportunities Health and Safety
 

On-line Forms

Ethnic Origin, Gender and Disability Status Survey

CWU Head Office has asked us to find out the gender and ethnic origin of our members and if they consider they are disabled. This information is only intended to help the Union provide the best service to our members.

Items marked must be filled in.

Your Details
Name:
Membership No:
Email address:
Telephone:
Employer:
Gender:
Disability

Do you consider yourself to have a disability?

Ethnic Origin

Please select the ethnic group that you consider you belong to:

Black Afro-Caribbean
Black African
Black Asian, please specify:
Black Other
Oriental
White European
White Other
Other, please specify:
Send Your Details
 

Thank you.

Original site design copyright © 2004-2008