VCSE Energy Efficiency SchemeEvent Booking Form

Delegate organisation

Please type the full name of your organisation without any punctuation or acronyms.

Delegate Email

Please ensure you have added a valid email address.

Delegate Phone No

Your email address if different

Please ensure you have added a valid email address or leave it blank if your email is the same as above.

Please let us know any access requests (including dietary needs)

Who do you provide frontline services for?

Please tell us if your organisation supports people from a particular demographic. We define this as 75% or more of the people you support sharing a characteristic. You can tick up to three boxes to best explain who you support. For example if you are a women’s support centre and over 75% of the people you support are women, but they don’t share any other characteristic you would only tick women and girls (1 box). If over 75% of the women you support are also under 25 then you would also tick young people (2 boxes in total). If over 75% of the people you support are young women under 25 with a disability then you would also tick disabled people (3 boxes in total). If the support your organisation provides is not targeted at a specific demographic, but is open to all, then please tick not targeted.

Not targetedMy organisation is aimed at a specific group of people

Please tick the boxes below if 75% or more of the people supported are from these groups. Please tick all that apply

Please describe the other specific groups not included in this list.

Examples include: care experienced young people, carers, people recovering from alcohol addiction, sex workers, people whose first language is not English or Welsh, people who have problems reading, men and boys.

Maximum 255 characters

Please tick one or more boxes identifying the main themes of your frontline services.

If you tick the box for Community hub or centre out of which a number of these services operate, please also tick at least one of the other boxes to tell us which services operate out of this hub.

Services that address poverty, including by providing food, warmth, emergency supplies and personal grantsShelter, accommodation and housing for those most in needEducation, training and employment services that improve employabilityAdvice services for people experiencing financial, housing or legal challenges.Services that address specific physical and mental health issues (such as disability, addiction and dementia)Community hub or centre out of which a number of these services operateOther

Declaration

I agree that by submitting this booking form, I am providing data, including personal details, to Locality, to Groundwork UK and the VCSE Energy Efficiency Scheme partners (Social Investment Business (SIB), Groundwork Trusts, Energy Saving Trust (EST) and Centre for Sustainable Energy (CSE). Information will also be shared with the funder Department for Digital, Culture, Media and Sport (DCMS), the external scheme evaluator (Ecorys) and, the assurance provider (Government Internal Audit Agency) to allow them to carry out their functions in relation to the Scheme.

Groundwork UK is the data controller and contract holder (ICO registration number Z6601182) responsible for personal data about the Energy Efficiency Scheme. Locality is a data processor.

Locality's Privacy Statement explains how we keep, use and protect your data. Please indicate that you accept these terms by ticking the box below.

We do not trade personal data for commercial purposes and will only process your data if required by law, necessary to administer your application, or with your consent.

I have read the privacy statement and I accept these terms