Vale Viewpoint

By completing this form you are agreeing to join the citizens' panel and take part in consultation activities. The information supplied is used to enable us to contact you and to monitor how representative the panel is in terms of the wider population of the Vale of Glamorgan.

First name

Surname

Postcode

House number/name

Street name

Town/city

Contact number

Best method of contact

Gender

How would you describe your working status?

Under the Equality Act (2010) the Council is required to collect certain monitoring data about members of Vale Viewpoint. This information is collected to ensure that all members of our community are involved in helping to make the decisions that affect them.

How would you describe your ethnic background?

Other, please specify

Do you consider yourself to have a disability?

If yes, please specify

Would you prefer to be contacted in Welsh?

Vale of Glamorgan Forms

Vale of Glamorgan Forms

Vale Viewpoint