Name Of Organisation Name * First Last Please select what membership you are applying for (Corporate Members MUST submit a copy of their organisation's constitution) Corporate Membership Individual Membership Full Address (inc Postcode) Email * Contact Number Please tell us what you hope to gain from joining SDEF Do you have a disability? (Optional - for information purposes only) Yes No Are you a member of your local Access Panel? Yes No If no, would you like to join and Access Panel? (By selecting yes you are agreeing to allow us to share your details with your local Access Panel) Yes No Communication We publish our information in the following formats: PDF, Word, Plain Text and Audio. Our written information is published in font Arial, size 14. We send our communications to members by email, however if you prefer a different format, please tell us here: Do you wish SDEF to use photographs taken at events which may include you? Yes No Please tell us how you found our about Scottish Disability Equality Forum: From a Friend, Family or Colleague Facebook or Twitter SDEF Website Direct Email from SDEF Event or Meeting Open Door Magazine SDEF Voice Other If other, please tell us where you heard about us Equal Opportunity Questions The questions below are optional. This is for recording the diversity of our membership only. Disability / Long term condition Do you have any of the following conditions which have lasted, or are expected to last at least month? Please tick all that apply Deaf, deafness, hard of hearing or deafblindness Blindness or other vision impariment A physical disability A learning disability A mental health condition A long term illness Prefer not to answer Other, Please type here: Gender Male Female Prefer Not To Answer Age Range Under 25 25-34 35-49 50-65 Over 65 Religion None Church Of Scotland Roman Catholic Other Christian Muslim Buddhist Sikh Jewish Hindu Pagan Prefer Not To Answer If other religion or belief, please type here: Sexual Orientation Straight Gay/ Lesbian Bisexual Transgender Prefer not to answer If other, please type here: Ethinic Group White English White Welsh White Scottish White Northern Irish White Irish White British White Gypsy or Irish Traveller Prefer not to answer Any other white background, please type here: Mixed/ Multiple Ethinic Groups White & Black Caribbean White & Black African White & Asian Prefer not to answer Any other mixed background, please type here: Asian or Asian British Pakistani Indian Bangladeshi Chinese Prefer not to answer Any other asian background, please type here: Black / African / Caribbean / Black British African Caribbean Prefer not to say Black / African / Caribbean background, please type here: Other ethnic group Arab Prefer not to say Any other ethnic group, please type here: Email Submit