{"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\/nn\/volunteer-application-form\/","title":{"rendered":"Volunteer Application Form"},"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\">Volunteer Application Form<\/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\">Any information given on this form is confidential and covered by the 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 elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2614ccc5 ae-bg-gallery-type-default\" data-id=\"2614ccc5\" 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-580a88e8 elementor-widget elementor-widget-shortcode\" data-id=\"580a88e8\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><style type=\"text\/css\" id=\"101\" data-form-unique-id=\"37158\" >.arf_form_outer_wrapper.ar_main_div_101 .arf_fieldset .formdescription_style{\n\/*place your css code for form's description*\/\n}<\/style><div class=\"arf_form ar_main_div_101 arf_form_outer_wrapper\" id=\"arffrm_101_container\"><div id=\"arf_message_success_popup\" style=\"display:none;\"><div class=\"msg-detail\"><div class=\"msg-description-success\">Thank you for completing this application.<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=\"37158\"  data-random-id=\"101_0SnVTGRx9U\"  data-submission-key=\"qrH0qjm0\"  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 type='text' name='arf_filter_input' 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class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_181_37158_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_37158\" class=\"arf_main_label arf_main_label_18px active\">Position Applying For<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_37158\"  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=\"Please select\">Please select<\/option><option value=\"Volunteer ESOL Tutor \"  data-content=\"Volunteer ESOL Tutor \">Volunteer ESOL Tutor <\/option><option value=\"Volunteer Maths Tutor\"  data-content=\"Volunteer Maths Tutor\">Volunteer Maths Tutor<\/option><option value=\"Volunteer Web Designer\"  data-content=\"Volunteer Web Designer\">Volunteer Web Designer<\/option><option value=\"BHUMP Volunteer\"  data-content=\"BHUMP Volunteer\">BHUMP Volunteer<\/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' >PERSONAL DETAILS<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_125_37158_container\" class=\"arfformfield input-field control-group arfmainformfield  arffieldrequired arf_field_type_select  top_container  top_container arfformfield frm_first_third 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for=\"field_dfdqtk_37158\" class=\"arf_main_label arf_main_label_18px\">Forenames<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_dfdqtk_37158\"  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_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Addresss<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[128]\" id=\"field_6bo2un_37158\"  rows=\"3\"  class=\"arf_required\" 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id=\"arf_field_130_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Telephone Number (Home)<\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_o7qqkd_37158\"name=\"item_meta[130]\"data-validation-number-message=\"Phone is invalid\"\/><\/div><\/div><div class=\"arf_half_middle\"><\/div><div id=\"arf_field_123_37158_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_37158\" 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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_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Your Skills and Interests<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_156-0-37158\" 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(37158,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-0-37158\" >Teaching English<\/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_156-1-37158\" value=\"Teaching Maths\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(37158,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-1-37158\" >Teaching Maths<\/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_156-2-37158\" value=\"Teaching Life skills, budgeting, etc.\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(37158,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-2-37158\" >Teaching Life skills, budgeting, etc.<\/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_156-3-37158\" value=\"Admin \/Clerical\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(37158,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-3-37158\" >Admin \/Clerical<\/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_156-4-37158\" value=\"Arts and Crafts\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(37158,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-4-37158\" >Arts and Crafts<\/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_156-5-37158\" value=\"Car Owner\/ Driver\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(37158,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-5-37158\" >Car Owner\/ Driver<\/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_156-6-37158\" value=\"Computer Skills\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(37158,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-6-37158\" >Computer Skills<\/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_156-7-37158\" value=\"Form Filling, CV writing\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(37158,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-7-37158\" >Form Filling, CV writing<\/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_156-8-37158\" value=\"Youth Work\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(37158,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-8-37158\" >Youth Work<\/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_156-9-37158\" value=\"Listening \/Befriending\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(37158,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-9-37158\" >Listening \/Befriending<\/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_156-10-37158\" value=\"Emotional Support\/ Counselling\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(37158,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-10-37158\" >Emotional Support\/ Counselling<\/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_156-11-37158\" value=\"Other \u2013 Please Specify below\"    class=\"arf_required\" style=''  onchange='arf_cl_apply_v3(37158,[\"\"]);arf_calculate_total(\"m3fbu4\",\"156\",[178,171,159,136,134]);' \/><span><\/span><\/div><label data-type=\"checkbox\" for=\"field_156-11-37158\" >Other \u2013 Please Specify below<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_153_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Other<\/label><div class=\"controls\"   ><textarea name=\"item_meta[153]\" id=\"field_lfwd0q_37158\"  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' >So that we can best use your skills and abilities, please complete the form below.<\/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' >Please give two independent referees who would be willing to supply a character reference (these must not be family members)<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_136_37158_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>Referee 1<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_137_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_9de35o_37158\"  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_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Address<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[138]\" id=\"field_5w0f1u_37158\"  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_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Email address<\/label><div class=\"controls\"   ><input type=\"text\" id=\"field_4utwbm_37158\" 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_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Telephone number<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_k43a2j_37158\"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_37158_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>Referee 2<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_135_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_j76w4a_37158\"  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_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Address<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><textarea name=\"item_meta[133]\" id=\"field_t53ysm_37158\"  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_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Email address<\/label><div class=\"controls\"   ><input type=\"text\" id=\"field_cun9oj_37158\" 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_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Telephone number<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input type=\"text\" data-type=\"phone\"  id=\"field_1kovvw_37158\"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=\"Next\" \/><\/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_37158_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>CONFIDENTIAL<\/b><\/p><br><br><p><b>Recruitment of Ex-Offenders<\/b> \u2013 Most of the Hillingdon Refugee Support Group\u2019s volunteering opportunities will involve direct contact with vulnerable young people.<br>As such, applications to volunteer are exempt from the Rehabilitation of Offenders Act 1974.<br>This means that potential volunteers are required to declare their entire criminal record, including cautions, reprimands, final warnings and criminal convictions categorised as `spend\u2019 under the above legislation.<br>Please complete and sign this section.<br>The information provided will be kept confidential.<br>It will only be disclosed to specific HRSG staff if\/when they are considering you for specific volunteering opportunities (where you may come into contact with potentially vulnerable young people).<br><\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_160_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Have you ever been convicted at a Court or Cautioned by the Police for any offence?<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_160-0-37158\" data-unique-id=\"37158\" 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_160-0-37158\" class=\"\">Yes<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[160]\" data-type=\"radio\" id=\"field_160-1-37158\" data-unique-id=\"37158\" value=\"No\"   class=\"arf_required\" style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_160-1-37158\" class=\"\">No<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_161_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">If Yes, please give details, including date(s) and nature of offence(s).<\/label><div class=\"controls\"   ><textarea name=\"item_meta[161]\" id=\"field_xoel3c_37158\"  rows=\"3\"  ><\/textarea><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_162_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">I declare the above information is correct<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_162-0-37158\" 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_162-0-37158\" ><\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_163_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Full name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_6ml0hp_37158\"  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_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Date<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_37158\"    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_37158_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' >Recruitment Monitoring Form (Confidential)<\/h2><div class=\"arf_field_description arf_heading_description\"><\/div><div id=\"arf_field_167_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">For monitoring purposes, please complete the attached equal opportunities.<br>In accordance with the Data Protection Act 1998, I agree that HRSG may hold and use personal information about me for volunteering reasons and to keep in touch with me. This information, including that contained in this application can be stored on both manual and computer files.<br>I confirm that the information on this form is correct. I understand that some of the tasks involved in my role with HRSG may be of a sensitive nature and I agree to maintain confidentiality at all times.<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_167-0-37158\" 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_167-0-37158\" ><\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_168_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Full name<span class=\"arfcheckrequiredfield\">*<\/span><\/label><div class=\"controls\"   ><input   type=\"text\" id=\"field_47wnp3_37158\"  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_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Date<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_37158\"    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_37158_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_37158_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 promotes equal opportunities<\/p><br>\n<p><b>Equal opportunities policy in recruitment and selection<\/b><\/p>\nRecruitment Monitoring Form (Confidential)\nHillingdon Refugee Support Group is committed to Equal Opportunities in Employment.<br>In order to ensure the effectiveness of this policy, all applicants are asked to provide the following information.<br>Any information given will be treated in the strictest confidence, and will be used solely for the purpose of monitoring.<br><p><b>Monitoring<\/b><\/p>\nWe will treat the following information as confidential and we would appreciate your co-operation in helping us monitor the effectiveness of our equal opportunities policy.<br>Your application will not be affected by the information provided and will be separated from your application form on receipt.<\/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_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Gender<\/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_173-0-37158\" data-unique-id=\"37158\" value=\"Male\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_173-0-37158\" class=\"\">Male<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[173]\" data-type=\"radio\" id=\"field_173-1-37158\" data-unique-id=\"37158\" value=\"Female\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_173-1-37158\" class=\"\">Female<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_174_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Age<\/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_174-0-37158\" data-unique-id=\"37158\" value=\"16-20\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-0-37158\" 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_174-1-37158\" data-unique-id=\"37158\" value=\"21-30\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-1-37158\" 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_174-2-37158\" data-unique-id=\"37158\" value=\"31-40\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-2-37158\" 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_174-3-37158\" data-unique-id=\"37158\" value=\"41-50\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-3-37158\" 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_174-4-37158\" data-unique-id=\"37158\" value=\"51-60\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-4-37158\" 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_174-5-37158\" data-unique-id=\"37158\" value=\"61-70\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-5-37158\" 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_174-6-37158\" data-unique-id=\"37158\" value=\"71-80\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-6-37158\" 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_174-7-37158\" data-unique-id=\"37158\" value=\"81-90\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_174-7-37158\" class=\"\">81-90<\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_175_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Ethnic Origin I would describe my ethnic origin as:<\/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_175-0-37158\" data-unique-id=\"37158\" value=\"White (English)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-0-37158\" class=\"\">White (English)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-1-37158\" data-unique-id=\"37158\" value=\"White (Irish)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-1-37158\" class=\"\">White (Irish)<\/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_175-2-37158\" data-unique-id=\"37158\" value=\"White (Gypsy) or Irish Traveller\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-2-37158\" class=\"\">White (Gypsy) or Irish Traveller<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-3-37158\" data-unique-id=\"37158\" value=\"White (Scottish)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-3-37158\" class=\"\">White (Scottish)<\/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_175-4-37158\" data-unique-id=\"37158\" value=\"White (Welsh)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-4-37158\" class=\"\">White (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_175-5-37158\" data-unique-id=\"37158\" value=\"Any other White background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-5-37158\" class=\"\">Any other White background<\/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_175-6-37158\" data-unique-id=\"37158\" value=\"Asian (Indian)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-6-37158\" class=\"\">Asian (Indian)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-7-37158\" data-unique-id=\"37158\" value=\"Asian (Pakistani)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-7-37158\" class=\"\">Asian (Pakistani)<\/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_175-8-37158\" data-unique-id=\"37158\" value=\"Asian (Bangladeshi)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-8-37158\" class=\"\">Asian (Bangladeshi)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-9-37158\" data-unique-id=\"37158\" value=\"Asian (Chinese)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-9-37158\" class=\"\">Asian (Chinese)<\/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_175-10-37158\" data-unique-id=\"37158\" value=\"Any other Asian background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-10-37158\" class=\"\">Any other Asian background<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-11-37158\" data-unique-id=\"37158\" value=\"Black (African)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-11-37158\" class=\"\">Black (African)<\/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_175-12-37158\" data-unique-id=\"37158\" value=\"Black (Caribbean)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-12-37158\" class=\"\">Black (Caribbean)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-13-37158\" data-unique-id=\"37158\" value=\"Any other Black, African, Caribbean background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-13-37158\" class=\"\">Any other Black, African, Caribbean background<\/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_175-14-37158\" data-unique-id=\"37158\" value=\"Mixed (White and Black Caribbean)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-14-37158\" class=\"\">Mixed (White and Black Caribbean)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-15-37158\" data-unique-id=\"37158\" value=\"Mixed (White and Black African)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-15-37158\" class=\"\">Mixed (White and Black African)<\/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_175-16-37158\" data-unique-id=\"37158\" value=\"Mixed (White and Asian)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-16-37158\" class=\"\">Mixed (White and Asian)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-17-37158\" data-unique-id=\"37158\" value=\"Other mixed ethnic background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-17-37158\" class=\"\">Other mixed ethnic background<\/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_175-18-37158\" data-unique-id=\"37158\" value=\"Other ethnic background (Arab)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-18-37158\" class=\"\">Other ethnic background (Arab)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[175]\" data-type=\"radio\" id=\"field_175-19-37158\" data-unique-id=\"37158\" value=\"Any other ethnic background\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_175-19-37158\" class=\"\">Any other ethnic background<\/label><\/div><\/div><div class=\"arf_chk_radio_col_two\"><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_176_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Religion or belief:<br>please indicate your religion or belief<\/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_176-0-37158\" data-unique-id=\"37158\" value=\"No religion (Atheism)\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-0-37158\" class=\"\">No religion (Atheism)<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-1-37158\" data-unique-id=\"37158\" value=\"Christianity\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-1-37158\" class=\"\">Christianity<\/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_176-2-37158\" data-unique-id=\"37158\" value=\"Buddhism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-2-37158\" class=\"\">Buddhism<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-3-37158\" data-unique-id=\"37158\" value=\"Hinduism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-3-37158\" class=\"\">Hinduism<\/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_176-4-37158\" data-unique-id=\"37158\" value=\"Islam\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-4-37158\" 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_176-5-37158\" data-unique-id=\"37158\" value=\"Judaism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-5-37158\" class=\"\">Judaism<\/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_176-6-37158\" data-unique-id=\"37158\" value=\"Sikhism\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-6-37158\" class=\"\">Sikhism<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[176]\" data-type=\"radio\" id=\"field_176-7-37158\" data-unique-id=\"37158\" value=\"Other\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-7-37158\" class=\"\">Other<\/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_176-8-37158\" data-unique-id=\"37158\" value=\"I do not wish to disclose my religion\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_176-8-37158\" class=\"\">I do not wish to disclose my religion<\/label><\/div><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_177_37158_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_37158\" class=\"arf_main_label arf_main_label_18px\">Do you consider yourself to have a disability<\/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_177-0-37158\" data-unique-id=\"37158\" value=\"Yes\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_177-0-37158\" class=\"\">Yes<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[177]\" data-type=\"radio\" id=\"field_177-1-37158\" data-unique-id=\"37158\" value=\"No\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_177-1-37158\" class=\"\">No<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[177]\" data-type=\"radio\" id=\"field_177-2-37158\" data-unique-id=\"37158\" value=\"I do not wish to disclose this information                \"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_177-2-37158\" class=\"\">I do not wish to disclose this information                <\/label><\/div><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_178_37158_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>When answering this question please note that under the Disability Discrimination Act 1995, a disability is defined as a \u201cmental or physical \u201c impairment which has a substantive and long term adverse effect upon your ability to carry out normal day to day activities.<\/p><\/div><\/div><div style=\"clear:both;\"><\/div><div id=\"arf_field_179_37158_container\" class=\"arfformfield control-group arfmainformfield  arf_horizontal_radio  arf_field_type_radio   top_container  top_container arfformfield  arf_field_179\"  style='width: 100%'  data-field-type=\"radio\" data-parent_field=\"172\"><label data-type=\"radio\" for=\"field_girqb7_37158\" class=\"arf_main_label arf_main_label_18px\">Please indicate which term is descriptive of your disability:<\/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[179]\" data-type=\"radio\" id=\"field_179-0-37158\" data-unique-id=\"37158\" value=\"Dyslexia\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_179-0-37158\" class=\"\">Dyslexia<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[179]\" data-type=\"radio\" id=\"field_179-1-37158\" data-unique-id=\"37158\" value=\"Sight 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class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[179]\" data-type=\"radio\" id=\"field_179-4-37158\" data-unique-id=\"37158\" value=\"Other mobility issues\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_179-4-37158\" class=\"\">Other mobility issues<\/label><\/div><div class=\"arf_radiobutton\"><div class='arf_radio_input_wrapper'><input type=\"radio\" name=\"item_meta[179]\" data-type=\"radio\" id=\"field_179-5-37158\" data-unique-id=\"37158\" value=\"Mental Health Condition\"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" for=\"field_179-5-37158\" class=\"\">Mental Health Condition<\/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[179]\" data-type=\"radio\" id=\"field_179-6-37158\" data-unique-id=\"37158\" value=\"Disability \"   style=\" \" \/><span><\/span><\/div><label data-type=\"radio\" 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