Barnet Homes Resident Support Group Reply Slip Barnet Homes would like to thank you for registering your interest in joining The Barnet Homes Resident Support Group. Question Title Registration Date received Date Question Title Your Details Name Address Postcode Question Title Where did you hear about The Barnet Homes Resident Support Group? Direct letter Email Estate/community event Leaflet Newsletter New tenant visit Phone call Website Word of mouth from Barnet Group staff Other (please specify) Question Title Joining Declaration I would like to become a member of The Residents Support Group and I consent to my contact details being held on Barnet Homes Resident Support Group database. Question Title I would like to be contacted in the following ways regarding The Barnet Homes Resident Support Group Email Post Telephone Question Title Please fill in your preferred contact details below (COMPLETE AS MANY BOXES AS YOU WISH): I'd like to be contacted by email at this email address: I'd like to be contacted by phone on this number: I'd like to receive texts via this number: I'd like to be contacted by letter at this address: You can withdraw or change your contact preferences regarding The Barnet Homes Resident Support Group at any time by emailing getinvolved@barnethomes.org or calling 020 8080 6587We will never sell your personal data and we promise to keep your details safe and secure. About YouWe would like to ask some questions about you. This information will help us to improve our services and be fair to all of our customers. The information you provide will be kept entirely confidential. The information you provide will be used to tailor services to meet your needs, and for statistical and research purposes, and will be stored securely. If there are any questions you do not wish to answer, please move on to the next question. For information about how your personal data is processed and about your rights, please read our Privacy Policy on our website: www.barnethomes.org/privacy Question Title How would you describe your ethnic origin? Arab Asian - Bangladeshi Asian - Chinese Asian - Indian Asian - Pakistani Any Other Asian Background (please specify below) Black - African Black – Caribbean Black - British Any Other Black Background (please specify below) Mixed - White and Black African Mixed - White and Black Caribbean Mixed - White and Asian Any Other Mixed / Multiple Ethnic Background (please specify below) White - British White - Irish White - European Gypsy / Irish Traveller Any Other White Background (please specify below) Any Other Ethnic Group Prefer Not to Say If you have specified Other (please give details here) Question Title Do you consider yourself to have a physical, mental, or sensory disability or impairment, or a long-term illness that limits your day-to-day activities? Yes No Prefer not to say Yes No Prefer not to say Question Title Your Tenure I am a Tenant I am a Leaseholder I am a Tenant I am a Leaseholder Question Title The answers you provide will be used by The Barnet Group, to improve the services we offer and we may share this information with our repairs partners for the same purpose. We will not share any personal information. By answering these questions you give us permission to do this. Yes. I give The Barnet Group permission to use my information in accordance with this privacy statement. Thank you for your time in completing this form Done