Expression of Interest Capture Form

Registration Form

If you are new to Recovery College, you need to complete this registration form. The registration form provides us with your personal details so we know how to contact you, if you have any support needs we need to be aware of, and your emergency contact details.

If you have been to Recovery College before, and already filled this form in then you do not need to fill it in again. Instead, please email [email protected] with the courses you are interested in and our administration team will process your booking and confirm that the existing details we have for you are correct.

Recovery College processes your information for the purpose of delivering the courses you have signed up for. Some of our courses are run in partnership with other organisations; to deliver these courses together, we will share necessary information with our partners, this will include the names of attendees and any medical or learning needs that you have identified we should be aware of. The organisations we work with will always be made clear when you sign up for a course and we will never share your information with anyone who does not have a legitimate need to know it. For more information on how we manage your information please see our website Privacy notice and managing your information | Norfolk and Suffolk NHS

Your Personal Details

First Name

Known as

Surname

Date of Birth

Postcode Lookup

Address

Address Line 1

Town/City

Address County

Postcode

Email Address

Validate Email Address

Please note that we will use this contact telephone number to contact you as and when required i.e., if you do not attend a course, if a course is cancelled, 1:1 coaching session

Contact Telephone Number

About You

Primarily, in what role will you be using the Recovery College? As a:

How did you find out about NSFT Recovery College?

Which location do you come from?

Supporting you and your requirements

Please use the section below to tell us about any special requirements.

If you need physical items (e.g. fidget tools or stress balls), please bring them with you.

For specific adjustments (e.g. interpreters or lighting changes), please contact us before booking so we can discuss your needs.

Do you have any reasonable adjustments, medical or learning needs that we should be aware of?

Emergency Contact Details We reserve the right to contact them if we have an urgent concern for your wellbeing during your course attendance. We wouldn't contact the Emergency person without it being something urgent or serious.

Emergency Contact Full Name

Emergency Contact Number

Emergency Contact Relationship

Other Information

Preferred method of contact.Please note that all confirmation bookings are sent by email and we may need to phone you if a course you have been booked on has cancelled at short notice.

Email
Text/SMS
Phone Call

Equality and Diversity Monitoring This information is anonymous and will only be used to monitor who we are engaging with. This will help understand whether we are reflective of the diversity of our population

Gender

What are your preferred pronouns?

Have you re-assigned your gender from the one given at birth?

Yes No

Ethnic origin

How would you identify your sexual orientation?

The Equality Act 2010 defines disability as a physical or mental impairment that has a substantial and long-term negative effect on your ability to do normal daily activities. The Act defines 'substantial' as being more than minor or trivial, e.g. if it takes much longer than usual to complete daily tasks like getting dressed. 'Long-term' means lasting for 12 months or longer, e.g. a breathing condition that develops as a result of a lung infection.

How would you identify your faith or belief system?

Thank you for completing this registration form.

Your registration details will be stored securely in accordance with data protection law and used for the sole purposes of managing and monitoring the Recovery College. Please feel free to email or telephone us with any questions