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Community Consultation on Violent Extremism: Muslim Perspectives
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Booking Form For Attendees
In order for us to process this form efficiently and effectively, please ensure that you complete ALL Sections in full.
In the interest of ensuring equitable representation across the diverse Muslim communities, please complete the information about your personal details and background below.
Name
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Contact Telephone Number
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Email Address
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Postal Address
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Do you belong to an organisation? If so, please give details.
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Background
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Please tick (√) the discussion group you wish to join
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During the consultation, we will assign you a group to facilitate your discussion. Please help us by indicating which discussion group you would like to join.
Imam - Mosque Based
Imam - Peripetic
Supplementary School - Islamic Education
Supplementary School - Mother Tongue School
Supplementary School - After School Homework Clubs
Private/Independent/Home school
Mainstream Educational Groups
Youth groups (14-25)
Sixth forms
College and University Students
Community Based Groups
Women's Groups (particularly mothers)
Fathers
Third Sector Groups
Charities
Do you have any dietary requirements?
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