top of page

Sandwell Community Offer Plus Referral Form

For any queries call: 0121 612 2934

Personal Details:

Date of Birth
Gender
Woman
Man
Non-binary
Transgender
Prefer not to say
Other
Ethnicity
Employment Status
Full Time Employed
Self Employed
Unemployed
Retired
Other

Referrer Details

Please update me on this referral
Yes
No

For any questions call: 0121 612 2934


Data protection: By registering for programmes operated by Murray Hall Community Trust you agree to your details being added to our database so that we can contact you and navigate you towards support as part of Sandwell’s Community Offer Plus service. You also agree to this information being shared with our partners and funders for the purposes of delivering the project and monitoring its performance in accordance with current data protection rules. For further information please visit – https://www.murrayhall.co.uk/privacy-policy 

I confirm that the above details are correct, and I wish to be registered for Sandwell’s Community Offer Plus Service.
Yes
No
Please keep me updated with further news and events from Murray Hall Community Trust
Yes
No
I understand and agree to my details being held on Murray Hall Community Trust’s database (please tick box)
Yes
No
Date
bottom of page