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Leicestershire Fire and Rescue Service's Firefighter 'Have A Go' Events
1.
About You
*
Will you be aged 18 or over on 1st July 2018?
(Required.)
Yes
No
*
Are you eligible to work in the UK?
(Required.)
Yes
No
*
Do you hold a Full UK, EEA or EU Driving Licence?
(Required.)
Yes
No
*
If you hold a Full UK, EEA or EU Driving Licence, do you have any penalty points?
(Required.)
Yes
No
N/A
Title
Mr
Mrs
Ms
Miss
Dr
Prof
Rev
Other
*
First Name
(Required.)
*
Last Name
(Required.)
*
Address Line 1
(Required.)
Address Line 2
Address Line 3
City
County
*
Post Code
(Required.)
*
Email Address
(Required.)
Telephone Number
*
Shoe/Boot size
(Required.)
Gender
Male
Female
Prefer not to say
Sexual Orientation
Bisexual
Gay/Lesbian
Hetrosexual
Prefer not to say
Ethnicity
White - British
White - Irish
White - Other
Mixed - White and Black Caribbean
Mixed - White and Black African
Mixed - White and Asian
Any other mixed Background
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi
Any other Asian Background
Chinese
Black or Black British
Black or Black British - Black African
Any Other Black Background
Prefer not to say
Do you have a disability?
Yes
No
Prefer not to say
Will you require any reasonable adjustments on the day?
Yes
No
What reasonable adjustments do you require?
Religion
None
Buddhist
Hindu
Muslim
Christian
Jewish
Sikh
Any other religion
Prefer not to say
