{"id":278408,"date":"2021-06-18T17:48:43","date_gmt":"2021-06-18T17:48:43","guid":{"rendered":"https:\/\/www.bhump.org.uk\/?page_id=278408"},"modified":"2021-06-18T17:56:55","modified_gmt":"2021-06-18T17:56:55","slug":"volunteer-application-form","status":"publish","type":"page","link":"https:\/\/www.bhump.org.uk\/nl\/volunteer-application-form\/","title":{"rendered":"Vrijwilliger aanvraagformulier"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"278408\" class=\"elementor elementor-278408\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"has_ae_slider elementor-section elementor-top-section elementor-element elementor-element-7a8ac910 elementor-section-boxed elementor-section-height-default elementor-section-height-default ae-bg-gallery-type-default\" data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" data-id=\"7a8ac910\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"has_ae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-59f927d7 ae-bg-gallery-type-default\" data-id=\"59f927d7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-20c55833 elementor-widget elementor-widget-heading\" data-id=\"20c55833\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Vrijwilliger aanvraagformulier<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-14c41a6e elementor-widget elementor-widget-heading\" data-id=\"14c41a6e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Alle informatie op dit formulier is vertrouwelijk en valt onder de Data Protection Act 1998<\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_ae_slider elementor-section elementor-top-section elementor-element elementor-element-1434c5a8 elementor-section-boxed elementor-section-height-default elementor-section-height-default ae-bg-gallery-type-default\" data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" data-id=\"1434c5a8\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"has_ae_slider 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class=\"msg-detail\"><div class=\"msg-description-success\">Bedankt voor het invullen van deze aanvraag.<br>Hillingdon Refugee Support Group, Key House, 106 High Street, West Drayton, Middlesex, UB7 7BQ<\/div><\/div><\/div><form enctype=\"multipart\/form-data\" method=\"post\" class=\"arfshowmainform arfpagebreakform\" style=\"\" data-form-id=\"form_m3fbu4\"  novalidate=\"\" data-id=\"79531\"  data-random-id=\"101_k2qxoXToc4\"  data-submission-key=\"YnyUZc67\"  data-key-validate=\"false\"  data-popup-id=\"\" action=\"\"><div><script type=\"text\/javascript\" data-cfasync=\"false\">if(window['jQuery']){ if(!window['arf_page_fields']) window['arf_page_fields'] = new Array(); window['arf_page_fields']['101'] = { 0:[123,124,125,126,127,128,129,130,131,132,133,134,135,136,137,138,139,140,141,142,143,144,145,146,147,148,149,150,151,152,153,154,155,156,157,158,159,160,161,162,163,164,], 1: [166,167,168,169,170,171,172,173,174,175,176,177,178,179,180,181,] }; }<\/script><\/div><input 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id=\"arf_fieldset_79531\"><div id=\"arf_wizard_table\" class=\"arf_wizard top\"><div class=\"arf_wizard_upper_tab\"><div style=\"width:50.000%;\" id=\"page_nav_1\" class=\"page_break_nav page_nav_selected\">Stap 1<\/div><div style=\"width:50.000%; \" id=\"page_nav_2\" class=\"page_break_nav\">Stap 2<\/div><\/div><div class=\"arf_wizard_lower_tab\"><div style=\"width:50.000%; padding:0;\" id=\"page_nav_arrow_1\" class=\"page_break_nav page_nav_selected\"><div class=\"arf_current_tab_arrow\"><\/div><\/div><div style=\"width:50.000%;padding:0;\" id=\"page_nav_arrow_2\" class=\"page_break_nav\"><\/div><\/div><\/div><div class='arf_wizard_clear' style='clear:both; height:15px;'><\/div><div id=\"page_0\" class=\"page_break\"><input type=\"hidden\" id=\"arf_repeatable_field_counter_180\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_180\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' ><\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_181_79531_container\" class=\"arfformfield input-field control-group arfmainformfield  arffieldrequired arf_field_type_select  top_container  top_container arfformfield  arf_field_181\"  style='width: 100%'  data-field-type=\"select\" data-parent_field=\"180\"><label data-type=\"select\" for=\"field_5c9nh0_79531\" class=\"arf_main_label arf_main_label_18px active\">Positie Solliciteren<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"sltstandard_front controls\"  ><select name=\"item_meta[181]\" data-validation-required-message=\"This field cannot be blank.\" id=\"field_5c9nh0_79531\"  class=\"select_controll_181 arf_required arf_select_controll\"style=\"width:auto;min-width:100px; \" data-size=\"15\" data-default-val=\"\"   ><option value=\"\" selected=\"selected\"  data-content=\"Maak een keuze\">Maak een keuze<\/option><option value=\"Volunteer ESOL Tutor \"  data-content=\"Volunteer ESOL Tutor \">Vrijwillige ESOL-tutor <\/option><option value=\"Volunteer Maths Tutor\"  data-content=\"Volunteer Maths Tutor\">Vrijwillige bijles wiskunde<\/option><option value=\"Volunteer Web Designer\"  data-content=\"Volunteer Web Designer\">Vrijwilliger webdesigner<\/option><option value=\"BHUMP Volunteer\"  data-content=\"BHUMP Volunteer\">BHUMP Vrijwilliger<\/option><\/select><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_124\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_124\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' >PERSOONLIJKE GEGEVENS<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_125_79531_container\" class=\"arfformfield input-field control-group arfmainformfield  arffieldrequired arf_field_type_select  top_container  top_container arfformfield frm_first_third arf_field_125\"  style='width: 17.914%'  data-field-type=\"select\" data-parent_field=\"124\"><label data-type=\"select\" for=\"field_b2gcv4_79531\" class=\"arf_main_label arf_main_label_18px active\">Titel<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"sltstandard_front controls\"  ><select name=\"item_meta[125]\" data-validation-required-message=\"This field cannot be blank.\" id=\"field_b2gcv4_79531\"  class=\"select_controll_125 arf_required arf_select_controll\"style=\"width:auto;min-width:100px; \" data-size=\"15\" data-default-val=\"\"   ><option value=\"\" selected=\"selected\"  data-content=\"Maak een keuze\">Maak een keuze<\/option><option value=\"Mr\"  data-content=\"Mr\">Dhr<\/option><option value=\"Mrs\"  data-content=\"Mrs\">Mvr<\/option><option value=\"Ms\"  data-content=\"Ms\">Mevrouw<\/option><option value=\"Miss\"  data-content=\"Miss\">Missen<\/option><\/select><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_126_79531_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_third  arf_inline_field_value  arf_field_126\"  style='width: 37.542%' data-field-type=\"text\" data-parent_field=\"124\" ><label data-type=\"text\" for=\"field_pnv2s8_79531\" class=\"arf_main_label arf_main_label_18px\">Achternaam<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_pnv2s8_79531\"  name=\"item_meta[126]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div class=\"arf_third_middle\"><\/div><div id=\"arf_field_127_79531_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_last_third  arf_inline_field_value  arf_field_127\"  style='width: 37.398%' data-field-type=\"text\" data-parent_field=\"124\" ><label data-type=\"text\" for=\"field_dfdqtk_79531\" class=\"arf_main_label arf_main_label_18px\">voornamen<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_dfdqtk_79531\"  name=\"item_meta[127]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_128_79531_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_128\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"124\"><label data-type=\"textarea\" for=\"field_6bo2un_79531\" class=\"arf_main_label arf_main_label_18px\">Adressen<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[128]\" id=\"field_6bo2un_79531\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_129_79531_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_email  top_container  arf_inline_field_value   top_container arfformfield  arf_field_129\"  style='width: 100%'  data-field-type=\"email\" data-parent_field=\"124\"><label data-type=\"email\" for=\"field_ezv4dx_79531\" class=\"arf_main_label arf_main_label_18px\">Jouw e-mailadres<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input type=\"text\" id=\"field_ezv4dx_79531\" name=\"item_meta[129]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  data-validation-regex-regex=\"[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\\.[A-Za-z]+\" data-validation-regex-message=\"Email is invalid\"  \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_130_79531_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_phone  top_container  top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_130\"  style='width: 48.07%'  data-field-type=\"phone\" data-parent_field=\"124\"><label data-type=\"phone\" for=\"field_o7qqkd_79531\" class=\"arf_main_label arf_main_label_18px\">Telefoonnummer (Thuis)<\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_o7qqkd_79531\"name=\"item_meta[130]\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_123_79531_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_phone  top_container  top_container arfformfield frm_last_half  arf_inline_field_value  arf_field_123\"  style='width: 48.07%'  data-field-type=\"phone\" data-parent_field=\"124\"><label data-type=\"phone\" for=\"field_676kzl_79531\" class=\"arf_main_label arf_main_label_18px\">Mobiel nummer (mobiel)<\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_676kzl_79531\"name=\"item_meta[123]\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_157_79531_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_157\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"124\"><label data-type=\"textarea\" for=\"field_e62s42_79531\" class=\"arf_main_label arf_main_label_18px\">Waar heb je gehoord over vrijwilligerswerk voor de Hillingdon Refugee Support Group (\u201cHRSG\u201d)?<\/label><div class=\"controls\"   ><textarea name=\"item_meta[157]\" id=\"field_e62s42_79531\"  rows=\"3\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_155\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_155\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' ><\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_156_79531_container\" class=\"arfformfield control-group arfmainformfield  arf_vertical_radio  arffieldrequired arf_field_type_checkbox   top_container  top_container arfformfield  arf_field_156\"  style='width: 100%'  data-field-type=\"checkbox\" data-parent_field=\"155\"><label data-type=\"checkbox\" for=\"field_fxbwf_79531\" class=\"arf_main_label arf_main_label_18px\">Jouw vaardigheden en interesses<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_checkbox controls arf_standard_checkbox\" style=\"padding-top:5px;\" ><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-0\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-0-79531\" value=\"Teaching English\"    class=\"arf_required\"data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" style=''  onchange='arf_cl_apply_v3(79531,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-0-79531\" >Engelse les geven<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-1\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-1-79531\" value=\"Teaching Maths\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(79531,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-1-79531\" >Wiskunde onderwijzen<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-2\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-2-79531\" value=\"Teaching Life skills, budgeting, etc.\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(79531,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-2-79531\" >Levensvaardigheden aanleren, budgetteren, enz.<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-3\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-3-79531\" value=\"Admin \/Clerical\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(79531,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-3-79531\" >Beheerder \/ administratief<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-4\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-4-79531\" value=\"Arts and Crafts\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(79531,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-4-79531\" >Kunst en ambacht<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-5\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-5-79531\" value=\"Car Owner\/ Driver\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(79531,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-5-79531\" >Auto-eigenaar \/ chauffeur<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-6\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-6-79531\" value=\"Computer Skills\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(79531,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-6-79531\" >Computer vaardigheden<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-7\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-7-79531\" value=\"Form Filling, CV writing\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(79531,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-7-79531\" >Formulier invullen, CV schrijven<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-8\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-8-79531\" value=\"Youth Work\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(79531,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-8-79531\" >Jeugd werk<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-9\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-9-79531\" value=\"Listening \/Befriending\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(79531,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-9-79531\" >Luisteren \/ vriendschap sluiten<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-10\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-10-79531\" value=\"Emotional Support\/ Counselling\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(79531,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-10-79531\" >Emotionele ondersteuning\/counseling<\/label><\/div><div class=\"arf_checkbox_style\" id=\"frm_checkbox_156-11\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[156][]\" data-type=\"checkbox\" id=\"field_156-11-79531\" value=\"Other \u2013 Please Specify below\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(79531,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-11-79531\" >Anders \u2013 Specificeer hieronder a.u.b.<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_153_79531_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_153\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"155\"><label data-type=\"textarea\" for=\"field_lfwd0q_79531\" class=\"arf_main_label arf_main_label_18px\">Ander<\/label><div class=\"controls\"   ><textarea name=\"item_meta[153]\" id=\"field_lfwd0q_79531\"  rows=\"3\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_154\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_154\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' >Om uw vaardigheden en capaciteiten zo goed mogelijk te kunnen gebruiken, verzoeken wij u het onderstaande formulier in te vullen.<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_141\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_141\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' >Geef twee onafhankelijke referenten op die bereid zijn een karakterreferentie te verstrekken (dit mogen geen gezinsleden zijn)<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_136_79531_container\" class=\"arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_136\" data-field-type=\"html\" data-parent_field=\"141\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p>Scheidsrechter 1<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_137_79531_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_137\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"141\" ><label data-type=\"text\" for=\"field_9de35o_79531\" class=\"arf_main_label arf_main_label_18px\">Naam<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_9de35o_79531\"  name=\"item_meta[137]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_138_79531_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_138\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"141\"><label data-type=\"textarea\" for=\"field_5w0f1u_79531\" class=\"arf_main_label arf_main_label_18px\">Adres<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[138]\" id=\"field_5w0f1u_79531\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_139_79531_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_email  top_container  arf_inline_field_value   top_container arfformfield  arf_field_139\"  style='width: 100%'  data-field-type=\"email\" data-parent_field=\"141\"><label data-type=\"email\" for=\"field_4utwbm_79531\" class=\"arf_main_label arf_main_label_18px\">E-mailadres<\/label><div class=\"controls\"   ><input type=\"text\" id=\"field_4utwbm_79531\" name=\"item_meta[139]\"  data-validation-regex-regex=\"[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\\.[A-Za-z]+\" data-validation-regex-message=\"Email is invalid\"  \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_140_79531_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_phone  top_container  top_container arfformfield   arf_inline_field_value  arf_field_140\"  style='width: 100%'  data-field-type=\"phone\" data-parent_field=\"141\"><label data-type=\"phone\" for=\"field_k43a2j_79531\" class=\"arf_main_label arf_main_label_18px\">Telefoon nummer<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_k43a2j_79531\"name=\"item_meta[140]\" class=\"arf_required\"data-validation-required-message=\"This field cannot be blank.\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_134_79531_container\" class=\"arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_134\" data-field-type=\"html\" data-parent_field=\"141\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p>Scheidsrechter 2<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_135_79531_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield   arf_inline_field_value  arf_field_135\"  style='width: 100%' data-field-type=\"text\" data-parent_field=\"141\" ><label data-type=\"text\" for=\"field_j76w4a_79531\" class=\"arf_main_label arf_main_label_18px\">Naam<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_j76w4a_79531\"  name=\"item_meta[135]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_133_79531_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_133\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"141\"><label data-type=\"textarea\" for=\"field_t53ysm_79531\" class=\"arf_main_label arf_main_label_18px\">Adres<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[133]\" id=\"field_t53ysm_79531\"  rows=\"3\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_132_79531_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_email  top_container  arf_inline_field_value   top_container arfformfield  arf_field_132\"  style='width: 100%'  data-field-type=\"email\" data-parent_field=\"141\"><label data-type=\"email\" for=\"field_cun9oj_79531\" class=\"arf_main_label arf_main_label_18px\">E-mailadres<\/label><div class=\"controls\"   ><input type=\"text\" id=\"field_cun9oj_79531\" name=\"item_meta[132]\"  data-validation-regex-regex=\"[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\\.[A-Za-z]+\" data-validation-regex-message=\"Email is invalid\"  \/><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_131_79531_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_phone  top_container  top_container arfformfield   arf_inline_field_value  arf_field_131\"  style='width: 100%'  data-field-type=\"phone\" data-parent_field=\"141\"><label data-type=\"phone\" for=\"field_1kovvw_79531\" class=\"arf_main_label arf_main_label_18px\">Telefoon nummer<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_1kovvw_79531\"name=\"item_meta[131]\" class=\"arf_required\"data-validation-required-message=\"This field cannot be blank.\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><div style='clear:both;height:1px;'>&nbsp;<\/div><\/div><div class=\"arfsubmitbutton arf_submit_div top_container\" id=\"arf_submit_div_0\" ><input type=\"submit\" class=\"next_btn\" name=\"next\" value=\"Volgende\" \/><\/div><div id=\"page_1\" class=\"page_break\" style=\"display:none;\"><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_158\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_158\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' ><\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_159_79531_container\" class=\"arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_159\" data-field-type=\"html\" data-parent_field=\"158\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p class=\"center\"><b>VERTROUWELIJK<\/b><\/p><br><br><p><b>Werving van ex-delinquenten<\/b> \u2013 De meeste vrijwilligerswerkmogelijkheden van de Hillingdon Refugee Support Group zullen direct contact met kwetsbare jongeren inhouden.<br>Als zodanig zijn aanvragen voor vrijwilligerswerk vrijgesteld van de Rehabilitation of Offenders Act 1974.<br>Dit betekent dat potenti\u00eble vrijwilligers verplicht zijn hun volledige strafblad op te geven, inclusief waarschuwingen, berispingen, laatste waarschuwingen en strafrechtelijke veroordelingen die volgens de bovenstaande wetgeving als &#39;uitgaven&#39; worden aangemerkt.<br>Gelieve dit onderdeel in te vullen en te ondertekenen.<br>De verstrekte informatie zal vertrouwelijk worden behandeld.<br>Het wordt alleen bekendgemaakt aan specifieke HRSG-medewerkers als\/wanneer zij u overwegen voor specifieke vrijwilligerswerkmogelijkheden (waar u in contact kunt komen met potentieel kwetsbare jongeren).<br><\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_160_79531_container\" class=\"arfformfield control-group arfmainformfield  arf_vertical_radio  arffieldrequired arf_field_type_radio   top_container  top_container arfformfield  arf_field_160\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"158\"><label data-type=\"radio\" for=\"field_w3uqxw_79531\" class=\"arf_main_label arf_main_label_18px\">Bent u ooit veroordeeld door een rechtbank of gewaarschuwd door de politie voor een strafbaar feit?<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[160]\" data-type=\"radio\" id=\"field_160-0-79531\" data-unique-id=\"79531\" value=\"Yes\"   class=\"arf_required\" data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_160-0-79531\" class=\"\">Ja<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[160]\" data-type=\"radio\" id=\"field_160-1-79531\" data-unique-id=\"79531\" value=\"No\"   class=\"arf_required\" style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_160-1-79531\" class=\"\">Nee<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_161_79531_container\" class=\"arfformfield control-group arfmainformfield  arf_field_type_textarea  top_container top_container arfformfield   arf_inline_field_value  arf_field_161\"  style='width: 100%'  data-field-type=\"textarea\" data-parent_field=\"158\"><label data-type=\"textarea\" for=\"field_xoel3c_79531\" class=\"arf_main_label arf_main_label_18px\">Zo ja, geef details, inclusief datum(s) en aard van de overtreding(en).<\/label><div class=\"controls\"   ><textarea name=\"item_meta[161]\" id=\"field_xoel3c_79531\"  rows=\"3\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_162_79531_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arffieldrequired arf_field_type_checkbox   top_container  top_container arfformfield  arf_field_162\"  style='width: 100%'  data-field-type=\"checkbox\" data-parent_field=\"158\"><label data-type=\"checkbox\" for=\"field_nsdv01_79531\" class=\"arf_main_label arf_main_label_18px\">Ik verklaar dat de bovenstaande informatie correct is<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_checkbox controls arf_standard_checkbox\" style=\"padding-top:5px;\" ><div class=\"arf_checkbox_style\" id=\"frm_checkbox_162-0\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[162][]\" data-type=\"checkbox\" id=\"field_162-0-79531\" value=\"Yes\"    class=\"arf_required\"data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" style=''  onchange='clearTimeout(__arf_timeout_handle); __arf_timeout_handle = setTimeout(function(){arf_calculate_total(\"m3fbu4\",\"162\",[178,171,159,136,134]);},100);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_162-0-79531\" ><\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_163_79531_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_163\"  style='width: 48.07%' data-field-type=\"text\" data-parent_field=\"158\" ><label data-type=\"text\" for=\"field_6ml0hp_79531\" class=\"arf_main_label arf_main_label_18px\">Voor-en achternaam<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_6ml0hp_79531\"  name=\"item_meta[163]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_164_79531_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_date  top_container  top_container arfformfield frm_last_half arf_field_164\"  style='width: 48.07%'  data-field-type=\"date\" data-parent_field=\"158\"><label data-type=\"date\" for=\"field_zltbyd_79531\" class=\"arf_main_label arf_main_label_18px\">Datum<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls arf_date_main_controls\"   ><input type=\"text\" data-date-format=\"MMM D, YYYY\" data-start-date=\"01\/01\/1950 00:00 AM\" data-cl-format=\"YYYY-MM-DD\" data-date-new-format=\"MM\/DD\/YYYY\" data-end-date=\"12\/31\/2050 11:59 PM\" data-default-date=\"\" id=\"field_zltbyd_79531\"    class=\"arf_required frm_date\" data-name='item_meta[164]' data-format='MMM D, YYYY' data-field-options=\"{&quot;required&quot;:&quot;1&quot;,&quot;required_indicator&quot;:&quot;*&quot;,&quot;blank&quot;:&quot;This field cannot be blank.&quot;,&quot;field_width&quot;:&quot;&quot;,&quot;locale&quot;:&quot;en&quot;,&quot;currentdefaultdate&quot;:&quot;&quot;,&quot;name&quot;:&quot;Date&quot;,&quot;default_value&quot;:&quot;&quot;,&quot;description&quot;:&quot;&quot;,&quot;placeholdertext&quot;:&quot;&quot;,&quot;show_time_calendar&quot;:&quot;&quot;,&quot;frm_show_time_calendar_field_indicator&quot;:&quot;&quot;,&quot;clock&quot;:&quot;12&quot;,&quot;step&quot;:&quot;30&quot;,&quot;off_days&quot;:&quot;&quot;,&quot;start_date&quot;:&quot;&quot;,&quot;end_date&quot;:&quot;&quot;,&quot;arf_show_min_current_date&quot;:&quot;0&quot;,&quot;arf_show_max_current_date&quot;:&quot;0&quot;,&quot;arf_tooltip&quot;:&quot;&quot;,&quot;frm_arf_tooltip_field_indicator&quot;:&quot;&quot;,&quot;tooltip_text&quot;:&quot;&quot;,&quot;enable_arf_prefix&quot;:&quot;&quot;,&quot;arf_prefix_icon&quot;:&quot;&quot;,&quot;enable_arf_suffix&quot;:&quot;&quot;,&quot;arf_suffix_icon&quot;:&quot;&quot;,&quot;classes&quot;:&quot;arf_2&quot;,&quot;inner_class&quot;:&quot;arf_2col&quot;,&quot;key&quot;:&quot;zltbyd&quot;,&quot;selectdefaultdate&quot;:&quot;&quot;,&quot;arfnewdateformat&quot;:&quot;&quot;,&quot;css_outer_wrapper&quot;:&quot;&quot;,&quot;css_label&quot;:&quot;&quot;,&quot;css_input_element&quot;:&quot;&quot;,&quot;css_description&quot;:&quot;&quot;,&quot;css_add_icon&quot;:&quot;&quot;,&quot;type&quot;:&quot;date&quot;,&quot;arf_enable_readonly&quot;:&quot;0&quot;,&quot;has_parent&quot;:&quot;1&quot;,&quot;parent_field&quot;:&quot;158&quot;,&quot;parent_field_type&quot;:&quot;section&quot;,&quot;image_position_from&quot;:&quot;top_left&quot;,&quot;clear_on_focus&quot;:&quot;0&quot;,&quot;default_blank&quot;:&quot;0&quot;}\" data-validation-required-message=\"This field cannot be blank.\" \/><input type=\"hidden\" name=\"item_meta[164]\" id=\"field_zltbyd_79531_formatted\" \/><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_166\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_166\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' >Wervingscontroleformulier (vertrouwelijk)<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_167_79531_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arffieldrequired arf_field_type_checkbox   top_container  top_container arfformfield  arf_field_167\"  style='width: 100%'  data-field-type=\"checkbox\" data-parent_field=\"166\"><label data-type=\"checkbox\" for=\"field_y9vrl4_79531\" class=\"arf_main_label arf_main_label_18px\">Gelieve voor controledoeleinden de bijgevoegde gelijke kansen in te vullen.<br>In overeenstemming met de Data Protection Act 1998 ga ik ermee akkoord dat HRSG persoonlijke informatie over mij mag bewaren en gebruiken voor vrijwilligersdoeleinden en om contact met mij te houden. Deze informatie, inclusief de informatie in deze applicatie, kan worden opgeslagen in zowel handmatige als computerbestanden.<br>Ik bevestig dat de informatie op dit formulier correct is. Ik begrijp dat sommige van de taken die betrokken zijn bij mijn rol bij HRSG van gevoelige aard kunnen zijn en ik ga ermee akkoord te allen tijde vertrouwelijkheid te handhaven.<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"setting_checkbox controls arf_standard_checkbox\" style=\"padding-top:5px;\" ><div class=\"arf_checkbox_style\" id=\"frm_checkbox_167-0\"><div class='arf_checkbox_input_wrapper'><input type=\"checkbox\" name=\"item_meta[167][]\" data-type=\"checkbox\" id=\"field_167-0-79531\" value=\"Yes\"    class=\"arf_required\"data-validation-minchecked-minchecked=\"1\" data-validation-minchecked-message=\"This field cannot be blank.\" style=''  onchange='clearTimeout(__arf_timeout_handle); __arf_timeout_handle = setTimeout(function(){arf_calculate_total(\"m3fbu4\",\"167\",[178,171,159,136,134]);},100);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_167-0-79531\" ><\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_168_79531_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_text  top_container top_container arfformfield frm_first_half  arf_inline_field_value  arf_field_168\"  style='width: 48.07%' data-field-type=\"text\" data-parent_field=\"166\" ><label data-type=\"text\" for=\"field_47wnp3_79531\" class=\"arf_main_label arf_main_label_18px\">Voor-en achternaam<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_47wnp3_79531\"  name=\"item_meta[168]\"  class=\"arf_required\" data-validation-required-message=\"This field cannot be blank.\"   \/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_169_79531_container\" class=\"arfformfield control-group arfmainformfield  arffieldrequired arf_field_type_date  top_container  top_container arfformfield frm_last_half arf_field_169\"  style='width: 48.07%'  data-field-type=\"date\" data-parent_field=\"166\"><label data-type=\"date\" for=\"field_ik603a_79531\" class=\"arf_main_label arf_main_label_18px\">Datum<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls arf_date_main_controls\"   ><input type=\"text\" data-date-format=\"MMM D, YYYY\" data-start-date=\"01\/01\/1950 00:00 AM\" data-cl-format=\"YYYY-MM-DD\" data-date-new-format=\"MM\/DD\/YYYY\" data-end-date=\"12\/31\/2050 11:59 PM\" data-default-date=\"\" id=\"field_ik603a_79531\"    class=\"arf_required frm_date\" data-name='item_meta[169]' data-format='MMM D, YYYY' data-field-options=\"{&quot;required&quot;:&quot;1&quot;,&quot;required_indicator&quot;:&quot;*&quot;,&quot;blank&quot;:&quot;This field cannot be blank.&quot;,&quot;field_width&quot;:&quot;&quot;,&quot;locale&quot;:&quot;en&quot;,&quot;currentdefaultdate&quot;:&quot;&quot;,&quot;name&quot;:&quot;Date&quot;,&quot;default_value&quot;:&quot;&quot;,&quot;description&quot;:&quot;&quot;,&quot;placeholdertext&quot;:&quot;&quot;,&quot;show_time_calendar&quot;:&quot;&quot;,&quot;frm_show_time_calendar_field_indicator&quot;:&quot;&quot;,&quot;clock&quot;:&quot;12&quot;,&quot;step&quot;:&quot;30&quot;,&quot;off_days&quot;:&quot;&quot;,&quot;start_date&quot;:&quot;&quot;,&quot;end_date&quot;:&quot;&quot;,&quot;arf_show_min_current_date&quot;:&quot;0&quot;,&quot;arf_show_max_current_date&quot;:&quot;0&quot;,&quot;arf_tooltip&quot;:&quot;&quot;,&quot;frm_arf_tooltip_field_indicator&quot;:&quot;&quot;,&quot;tooltip_text&quot;:&quot;&quot;,&quot;enable_arf_prefix&quot;:&quot;&quot;,&quot;arf_prefix_icon&quot;:&quot;&quot;,&quot;enable_arf_suffix&quot;:&quot;&quot;,&quot;arf_suffix_icon&quot;:&quot;&quot;,&quot;classes&quot;:&quot;arf_2&quot;,&quot;inner_class&quot;:&quot;arf_2col&quot;,&quot;key&quot;:&quot;ik603a&quot;,&quot;selectdefaultdate&quot;:&quot;&quot;,&quot;arfnewdateformat&quot;:&quot;&quot;,&quot;css_outer_wrapper&quot;:&quot;&quot;,&quot;css_label&quot;:&quot;&quot;,&quot;css_input_element&quot;:&quot;&quot;,&quot;css_description&quot;:&quot;&quot;,&quot;css_add_icon&quot;:&quot;&quot;,&quot;type&quot;:&quot;date&quot;,&quot;arf_enable_readonly&quot;:&quot;0&quot;,&quot;has_parent&quot;:&quot;1&quot;,&quot;parent_field&quot;:&quot;166&quot;,&quot;parent_field_type&quot;:&quot;section&quot;,&quot;image_position_from&quot;:&quot;top_left&quot;,&quot;clear_on_focus&quot;:&quot;0&quot;,&quot;default_blank&quot;:&quot;0&quot;}\" data-validation-required-message=\"This field cannot be blank.\" \/><input type=\"hidden\" name=\"item_meta[169]\" id=\"field_ik603a_79531_formatted\" \/><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_170\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_170\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' ><\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_171_79531_container\" class=\"arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_171\" data-field-type=\"html\" data-parent_field=\"170\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p class=\"center\">HRSG bevordert gelijke kansen<\/p><br>\n<p><b>Gelijkekansenbeleid bij werving en selectie<\/b><\/p>\nWervingscontroleformulier (vertrouwelijk) Hillingdon Refugee Support Group zet zich in voor gelijke kansen op het gebied van werkgelegenheid.<br>Om de effectiviteit van dit beleid te waarborgen, wordt alle aanvragers gevraagd om de volgende informatie te verstrekken.<br>Alle verstrekte informatie zal strikt vertrouwelijk worden behandeld en uitsluitend worden gebruikt voor controledoeleinden.<br><p><b>Toezicht houden<\/b><\/p>\nWe zullen de volgende informatie vertrouwelijk behandelen en we zouden het op prijs stellen als u meewerkt om ons te helpen de doeltreffendheid van ons gelijkekansenbeleid te bewaken.<br>Uw aanvraag wordt niet be\u00efnvloed door de verstrekte informatie en wordt bij ontvangst gescheiden van uw aanvraagformulier.<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><\/div><div style=\"clear:both;\"><\/div><input type=\"hidden\" id=\"arf_repeatable_field_counter_172\" data-max_add=\"0\" value=\"1\" \/><div id=\"heading_172\" class=\"arf_heading_div\"><h2 class='arf_sec_heading_field pos_top' style='display:block'; data-field-type='section' ><\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_173_79531_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_173\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"172\"><label data-type=\"radio\" for=\"field_9z9vjc_79531\" class=\"arf_main_label arf_main_label_18px\">Geslacht<\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[173]\" data-type=\"radio\" id=\"field_173-0-79531\" data-unique-id=\"79531\" value=\"Male\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_173-0-79531\" class=\"\">Mannelijk<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[173]\" data-type=\"radio\" id=\"field_173-1-79531\" data-unique-id=\"79531\" value=\"Female\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_173-1-79531\" class=\"\">Vrouwelijk<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_174_79531_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_174\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"172\"><label data-type=\"radio\" for=\"field_f59t2k_79531\" class=\"arf_main_label arf_main_label_18px\">Leeftijd<\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[174]\" data-type=\"radio\" id=\"field_174-0-79531\" data-unique-id=\"79531\" value=\"16-20\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-0-79531\" class=\"\">16-20<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[174]\" data-type=\"radio\" id=\"field_174-1-79531\" data-unique-id=\"79531\" value=\"21-30\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-1-79531\" class=\"\">21-30<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[174]\" data-type=\"radio\" id=\"field_174-2-79531\" data-unique-id=\"79531\" value=\"31-40\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-2-79531\" class=\"\">31-40<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[174]\" data-type=\"radio\" id=\"field_174-3-79531\" data-unique-id=\"79531\" value=\"41-50\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-3-79531\" class=\"\">41-50<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[174]\" data-type=\"radio\" id=\"field_174-4-79531\" data-unique-id=\"79531\" value=\"51-60\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-4-79531\" class=\"\">51-60<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[174]\" data-type=\"radio\" id=\"field_174-5-79531\" data-unique-id=\"79531\" value=\"61-70\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-5-79531\" class=\"\">61-70<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[174]\" data-type=\"radio\" id=\"field_174-6-79531\" data-unique-id=\"79531\" value=\"71-80\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-6-79531\" class=\"\">71-80<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[174]\" data-type=\"radio\" id=\"field_174-7-79531\" data-unique-id=\"79531\" value=\"81-90\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-7-79531\" class=\"\">81-90<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_175_79531_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_175\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"172\"><label data-type=\"radio\" for=\"field_8z09pc_79531\" class=\"arf_main_label arf_main_label_18px\">Etnische afkomst Ik zou mijn etnische afkomst omschrijven als:<\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-0-79531\" data-unique-id=\"79531\" value=\"White (English)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-0-79531\" class=\"\">Wit (Engels)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-1-79531\" data-unique-id=\"79531\" value=\"White (Irish)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-1-79531\" class=\"\">Wit (Iers)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-2-79531\" data-unique-id=\"79531\" value=\"White (Gypsy) or Irish Traveller\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-2-79531\" class=\"\">Witte (zigeuner) of Ierse reiziger<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-3-79531\" data-unique-id=\"79531\" value=\"White (Scottish)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-3-79531\" class=\"\">Wit (Schots)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-4-79531\" data-unique-id=\"79531\" value=\"White (Welsh)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-4-79531\" class=\"\">Wit (Welsh)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-5-79531\" data-unique-id=\"79531\" value=\"Any other White background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-5-79531\" class=\"\">Elke andere witte achtergrond<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-6-79531\" data-unique-id=\"79531\" value=\"Asian (Indian)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-6-79531\" class=\"\">Aziatisch (Indiaas)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-7-79531\" data-unique-id=\"79531\" value=\"Asian (Pakistani)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-7-79531\" class=\"\">Aziatisch (Pakistaans)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-8-79531\" data-unique-id=\"79531\" value=\"Asian (Bangladeshi)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-8-79531\" class=\"\">Aziatisch (Bangladesh)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-9-79531\" data-unique-id=\"79531\" value=\"Asian (Chinese)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-9-79531\" class=\"\">Aziatisch (Chinees)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-10-79531\" data-unique-id=\"79531\" value=\"Any other Asian background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-10-79531\" class=\"\">Elke andere Aziatische achtergrond<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-11-79531\" data-unique-id=\"79531\" value=\"Black (African)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-11-79531\" class=\"\">Zwart (Afrikaans)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-12-79531\" data-unique-id=\"79531\" value=\"Black (Caribbean)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-12-79531\" class=\"\">Zwart (Caribisch)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-13-79531\" data-unique-id=\"79531\" value=\"Any other Black, African, Caribbean background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-13-79531\" class=\"\">Elke andere zwarte, Afrikaanse, Caribische achtergrond<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-14-79531\" data-unique-id=\"79531\" value=\"Mixed (White and Black Caribbean)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-14-79531\" class=\"\">Gemengd (Wit en Zwart Caribisch gebied)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-15-79531\" data-unique-id=\"79531\" value=\"Mixed (White and Black African)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-15-79531\" class=\"\">Gemengd (Wit en Zwart Afrikaans)<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-16-79531\" data-unique-id=\"79531\" value=\"Mixed (White and Asian)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-16-79531\" class=\"\">Gemengd (Wit en Aziatisch)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-17-79531\" data-unique-id=\"79531\" value=\"Other mixed ethnic background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-17-79531\" class=\"\">Andere gemengde etnische achtergrond<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-18-79531\" data-unique-id=\"79531\" value=\"Other ethnic background (Arab)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-18-79531\" class=\"\">Andere etnische achtergrond (Arabisch)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-19-79531\" data-unique-id=\"79531\" value=\"Any other ethnic background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-19-79531\" class=\"\">Elke andere etnische achtergrond<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_176_79531_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_176\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"172\"><label data-type=\"radio\" for=\"field_mcq04e_79531\" class=\"arf_main_label arf_main_label_18px\">Religie of overtuiging:<br>geef uw religie of overtuiging aan<\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-0-79531\" data-unique-id=\"79531\" value=\"No religion (Atheism)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-0-79531\" class=\"\">Geen religie (Athe\u00efsme)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-1-79531\" data-unique-id=\"79531\" value=\"Christianity\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-1-79531\" class=\"\">Christendom<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-2-79531\" data-unique-id=\"79531\" value=\"Buddhism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-2-79531\" class=\"\">Boeddhisme<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-3-79531\" data-unique-id=\"79531\" value=\"Hinduism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-3-79531\" class=\"\">hindoe\u00efsme<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-4-79531\" data-unique-id=\"79531\" value=\"Islam\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-4-79531\" class=\"\">Islam<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-5-79531\" data-unique-id=\"79531\" value=\"Judaism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-5-79531\" class=\"\">jodendom<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-6-79531\" data-unique-id=\"79531\" value=\"Sikhism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-6-79531\" class=\"\">Sikhisme<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-7-79531\" data-unique-id=\"79531\" value=\"Other\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-7-79531\" class=\"\">Ander<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-8-79531\" data-unique-id=\"79531\" value=\"I do not wish to disclose my religion\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-8-79531\" class=\"\">Ik wil mijn religie niet bekendmaken<\/label><\/div><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_177_79531_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_177\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"172\"><label data-type=\"radio\" for=\"field_zulg38_79531\" class=\"arf_main_label arf_main_label_18px\">Beschouw je jezelf als een handicap?<\/label><div class=\"setting_radio controls arf_standard_radio\" style=\"padding-top:5px;\"><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[177]\" data-type=\"radio\" id=\"field_177-0-79531\" data-unique-id=\"79531\" value=\"Yes\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_177-0-79531\" class=\"\">Ja<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[177]\" data-type=\"radio\" id=\"field_177-1-79531\" data-unique-id=\"79531\" value=\"No\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_177-1-79531\" class=\"\">Nee<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[177]\" data-type=\"radio\" id=\"field_177-2-79531\" data-unique-id=\"79531\" value=\"I do not wish to disclose this information                \"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_177-2-79531\" class=\"\">Ik wil deze informatie niet vrijgeven                <\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_178_79531_container\" class=\"arfformfield arf_display_to_confirmation_summary control-group arfmainformfield  arf_field_type_html  top_container  top_container arfformfield  arf_field_178\" data-field-type=\"html\" data-parent_field=\"172\" style='width: 100%'><div class=\"arf_htmlfield_control\"><p>Houd er bij het beantwoorden van deze vraag rekening mee dat onder de Disability Discrimination Act 1995 een handicap wordt gedefinieerd als een &quot;mentale of fysieke&quot; beperking die een wezenlijk en langdurig nadelig effect heeft op 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