Applications are STRICTLY invited from residents of Greater Manchester!
Please submit your application by Sunday 10th September 2023
1. What is your full name?
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First Name
Last Name
2. What is your email address?
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example@example.com
3. What is your contact number?
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4. Tell us about yourself
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0/500
5. Tell us why you want to be on the Panel, what you want the panel to achieve and what you would like to gain personally from the experience?
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0/500
6. While being a panel member is not an elected public representative role, how would you ensure views from your community are reflected in discussions?
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0/500
7. How will you engage with these communities, and ensure there is a two-way flow of information and views from communities to the GMCA and Mayor’s Office through panel members?
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0/500
8. Where do you Live?
Please Select
Bolton
Bury
Manchester
9. Do you have experience, knowledge and expertise of any of the following issues?Experience of issues / (Please tick all that apply)
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Encouraging racially minoritised/global majority/people of colour leadership and public representation
Educational inequalities and achievement, including STEM (Science, Technology, Enginneering, Mathematics)
Employment and labour market inequalities
Financial inclusion and poverty
Hate crime
Health and wellbeing inequality
Housing and homelessness, including hidden homelessness
Policing and criminal justice issues
10. How old are you?
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11. How do you describe your gender?
Please Select
Male
Female
Binary
Prefer Not to Say
11. Do you identify as trans/transgender?
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Please Select
Yes
No
12. How do you describe your ethnic background? - Ethnicity
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Please Select
Asian or Asian British
Black, Black British, Caribbean or African
White
Other ethnic group
13. How do you describe your religion?
*
Please Select
Christian
Buddhist
Hindu
Jewish
Muslim
Sikh
No Religion
Other religion
14. How do you describe your religion? - If you selected 'other religion', what religion are you?
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15. How do you describe your sexuality?
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16. Do you consider yourself to have a disability? (Please tick all that apply)
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Disability - No
Disability - Yes - learning disability
Disability - Yes - mental ill health
Disability - Yes - mobility disability
Disability - Yes - sensory disability
Disability - Yes - other disability
Disability - Prefer not to say
Other disability
17. Please identify any potential conflicts of interest:(A potential conflict of interest does not necessarily preclude an organisation from being selected, but will need to be declared in the interests of public transparency.)
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0/200
18. Would you like to receive news and updates about the Panel in going forward?
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Yes
No
Submit
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