Register interest in becoming a Community representative

Thank you for taking an interest in become a Community rep. You can read more detailed information on the rep role here. If you want more information or want to know more about how you could become a rep, fill in the form below: 

       
           

Not a member?
Let’s get to know each other.

       
   
           

"*" indicates required fields

Name*

"*" indicates required fields

Name*
Do you live in Bristol, South Gloucestershire, or the BANES?*
Are you a Community member?*
Are you in active employment?*
What type of learning would you like to access (please tick all that apply)*
Do you have a disability?
What is your gender?

Do you have a learning disability?
Where do you prefer to learn?*