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Membership Form

Membership is open to all permanent and temporary university staff who define themselves as belonging to protected groups as defined in the Equality Act 2010. Other staff who support the aims and objectives of the Network can also become members

Please complete the form if you would like to join the network.

1. First Name: *This question is required.

2. Surname:
*This question is required.

3. Job Title:
*This question is required.

4. Email:
*This question is required. This question requires a valid email address.

5. Nationality: *This question is required.

Please enter an 'other' value for this selection.

6. Gender: *This question is required.

Please enter an 'other' value for this selection.

7. Ethnic Background:

Please enter an 'other' value for this selection.

8. Please tell us your motivation/reasons to join our BAME Network? *This question is required.

9. What support do you hope to achieve by joining our network?

10. Where did you hear about us?
*This question is required.

Staff Intranet/Website
Email
Event/Webinar
Staff
Other - please specify: Please enter an 'other' value for this selection.

The BAME Network will use this information to determine how to provide resources, information and support that will be most useful to all members. All data will be stored securely and kept confidential. Only BAME Staff Network members elected to the Network Committee will have access to individual members’ information.

For any further enquiries please contact: BAMEstaff@beds.ac.uk

Thank-you