Your Name (required)
Your Job Title
Your Primary Area of Work
Please indicate your primary area of work
Your Work Activities
What best describes what you do?
PractitionerFrontline managementPolicy/PlanningOperational managementPerformanceStrategic ManagementCommissioning/ContractingInspectionTeaching or TrainingResearch/Evaluation
With which of the following are you involved?
Early yearsChildren in NeedChildren's CentresOlder PeopleSchools/Extended SchoolsMental HealthYouth ServicesLearning DisabilitiesLooked-after ChildrenPhysical DisabilitiesSensory ImpairmentSafeguarding ChildrenHousingResidential CareCommunity Based CareBlack/Minority Ethnic Service UsersCriminal Justice SystemSubstance Abuse
Your workplace (Tick more than one if your place of work has merged, e.g. social services and housing)
Local Authority - adultsLocal Authority - childrenLocal Authority - otherVoluntary SectorPrimary Care TrustAcute TrustIndependent SectorCentral Government/National/Regional AgencyFurther/Higher Education
Type of membership
New Multiple MembershipNumber of members in new Multiple Membership, excluding main contact.Join existing Multiple Membership (see list of current member organisations)Individual MembershipStudent or Unwaged
As a member of SSRG, your contact details are kept in our Membership Database for the purposes of printing a mailing list for sending out newsletters, information and details of events. Under the Data Protection Act 2000, we are required to obtain permission for the data to be held for this purpose. Please see our Data Protection Statement for more details.tick here
Basic contact details and information about interests is available to other SSRG members, in the Members Area of this Web site. If you do not wish your details and membership interests to be shared in this way, please tick this box. Tick here
Year of Birth
Year of joining SSRG (if known)
MaleFemaleTransgenderPrefer not to answer
Do you consider yourself to have any long standing illness or disability? (Long standing means anything that has troubled you over a period of time or is likely to affect you over a period of time)
BritishIrishAny other white background
White and Black CaribbeanWhite and Black AfricanWhite and AsianAny other mixed background
Black or Black British
CaribbeanAfricanAny other black background
Asian or Asian British
IndianPakistaniBangladeshiAny other Asian background
Other Ethnic Groups
ChineseAny other ethnic group
Prefer not to answer
Prefer not to answer
BisexualGayHeterosexualLesbianTransgenderUnsurePrefer not to answer
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