Working 4U registration form
Fields marked with a * are compulsory.
* Name
* Address
* Town
* Post code
Home telephone number
Mobile number
* Email
* Please confirm your Email
* What areas of the programme are you interested in? (Select as many options as you are interested in) One to one support Job club Volunteering Training courses
* Are you a Cross Keys Homes' tenant? Yes No
* Are you Employed Unemployed
* Are you currently receiving unemployment related benefits? Yes No
* Are you a lone parent? Yes No
* Are you Male Female
Please specify your age Prefer not to say A young person 16-19, not in employment or education or training Under 18 18-25 26-49 50+
* Do you have a disability? Yes No
Please state your ethnicity Prefer not to say Indian Pakistani Bangladeshi Other Caribbean African Other Chinese Other White and Black Caribbean White and Black African White and Asian Other British Irish Other
