Support Application Form

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Gender at birth
Gender Identity
Pronouns
Marital Status
Employment Status
How long have you been employed in the industry
Declaration and agreement to T&C's

Declaration - "I hereby affirm, to the best of my knowledge, the accuracy of the information provided in this form and pledge to promptly inform the Electrical Industries Charity of any significant changes to my circumstances.

I authorise the use of my data by the Electrical Industries Charity in accordance with their data protection and privacy policy, accessible here, which outlines the procedures for handling personal data. I also consent to the sharing of relevant information with their partners to facilitate the provision of necessary services."

Terms and conditions of support - You can access our support services terms and conditions here. By selecting the checkbox below, you acknowledge that you have reviewed and agreed to the terms and conditions, understanding that any breach may result in the termination of support and potential refusal of future assistance.

Declaration and agreement to T&C's
Declaration and agreement to T&C's (copy)