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Recovery College Registration Form

Your personal details

/ /
  • Email
  • Call to phone
  • Call to Mobile
  • Text/SMS
  • Post
  • With the person you support
  • On your own for your benefit
/ /
  • Service user
  • Previous service user
  • Supporter(Carer)
  • Student
  • NSFT staff
  • Staff member from third sector
Yes No

Special requirements

  • Use of time out cards
  • Use of Stress Balls, Fiddle Things, distraction Items
  • Use of colouring books
  • Lighting adjustments
  • Use of communication cards
  • Adjustments to written material
  • Additional support with reading and / or writing
  • Use of colour overlays
  • Medical needs: please tell us anything that you think we need to know about

Emergency Contact

Courses

  • Bury St Edmunds
  • Felixstowe
  • Great Yarmouth
  • Ipswich
  • Kings Lynn
  • Lowestoft
  • Newmarket
  • Norwich
  • Thetford

Other Information

Yes No
Yes No
Yes No

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

Yes No Prefer not to say

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 it usually would to complete a daily task like getting dressed. 'Long-term' is defined as lasting for a period of 12 months or more? e.g.a breathing condition that develops as a result of a lung infection

  • No
  • Physical disability
  • Mental ill health
  • Sensory impairment
  • Learning difficulty such as dyslexia
  • Learning disability
  • Prefer not to say
  • Other

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




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