Request your rainbow badge

Well done on completing the rainbow badge training - the first step in helping create an LGBTQ+ inclusive Sue Ryder.

Only complete this form once you've either finished the e-learning (staff) or watched the recorded session (volunteers). 

Once you’ve completed this form we’ll post your badge to you - it can take up to one month to receive your badge. 

Sign in to Google to save your progress. Learn more
Email *
What is your name? (The name you feel most comfortable using at work. Your name isn't on the badge but your name is needed so your badge can be delivered to you.) *
Are you are paid member of staff or volunteer?
*
Which area of Sue Ryder do you work in?
*

What location do you work in? This is where your rainbow badge will be sent. Please only select Home Based if you cannot pick your badge up from a centre, shop or office. (To find your location press ctrl+F and type in location.)

Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Sue Ryder.

Does this form look suspicious? Report