Social Services Research Group: Membership Form

Joining SSRG - Online Membership Form

Your Details

First name

Last name

Job Title

Organisation

Address

Post Code

Telephone

Email

Your primary area of work

Please indicate your primary area of work:

Children and families

Adults

Generic

Other (please state)

Your work activities

What best describes what you do? (Please tick as many as apply)

Practitioner

Frontline management

Policy/Planning

Operational management

Performance

Strategic Management

Commissioning/Contracting

Inspection

Teaching or Training

Research/Evaluation

Other

Work involvement

With which of the following are you involved? (Please tick as many as apply)

Early years

Children in Need

Children's Centres

Older People

Schools/Extended Schools

Mental Health

Youth Services

Learning Disabilities

Looked-after Children

Physical Disabilities
Sensory Impairment

Safeguarding Children

Housing

Residential Care

Community Based Care

Black/Minority Ethnic Service Users

Criminal Justice System

Substance Abuse

Other

Your workplace

Your workplace (Tick more than one if your place of work has merged, e.g. social services and housing)

Local Authority - adults

Local Authority - children

Local Authority - other

Voluntary Sector

Primary Care Trust

Acute Trust

Independent Sector

Central Government/National/Regional Agency

Further/Higher Education

Other

Type of Membership

New Multiple Membership

Number of members in new Multiple Membership, excluding main contact.

Join existing Multiple Membership (see list of current member organisations)

Individual Membership

Student or Unwaged

Click here for information about membership types and who they are suitable for.

Data Protection

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.

Please tick this box if you do not wish your details to be held in our Membership Database.

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.

Equal Opportunities Monitoring Information

Whilst SSRG is committed to monitoring all aspects of diversity, it is acknowledged that some people may be unwilling to disclose personal details. These questions are therefore optional.

Gender

Female

Male

Sexuality

Bisexual

Gay

Heterosexual

Lesbian

Transgender

Unsure

Prefer not to answer

Ethnicity

White

Asian or Asian British

British

Indian

Irish

Pakistani

Any other white background

Bangladeshi

Mixed

Any other Asian background

White and Black Caribbean

Other Ethnic Groups

White and Black African

Chinese

White and Asian

Any other ethnic group

Any other mixed background

Black or Black British

Caribbean

African

Any other Black background

Prefer not to answer

Year of birth

Disability

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)

Yes

Site search

Joining SSRG - Online Membership Form