Connect Housing - Tenant Participation Form

Which Participation Activity are you interested in?

Tenant Inspectors

Spring Investment Conference

First Name Please enter your first name

Surname Please enter your surname

Address

Post Code

Date of Birth

Email Address

Are you a Connect Tenant?

Yes

No

Do your receive support services from Connect?

Yes

No

Do you require transport to the activity?

Yes

No

Do you require child care cost for the duration of the activity?

Yes

No

Do you have any special dietry requirements?

Yes

No

If Yes Please Specify

Do you have any other special requirements due to religion, disability etc.?

Are there days you cannot attend?

Are there times you cannot attend?

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