Access Rider (participant)

We want you to work at your very best during your time with us. Feel free to share anything that might be a barrier to this.

We want those working with us to feel comfortable and supported and see this as part of a conversation with how we can work together to do this. If you would like to write about any access requirements you may have, please fill in this form as much or as little as you wish. Please don’t feel you have to justify anything; a short summary is fine. Any information you share is strictly confidential.

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Email *
Please indicate the workshop you're participating in *
Name: *
Pronoun *
Date rider completed *
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Introduction:
Tell us about any clinical conditions or diagnoses you wish to disclose and how they affect you. Only things essential to understanding how to work with you are needed.

You do not need the give the medical name for an impairment or condition if you don’t want to. You may want to say if there are things that mean your work capacity fluctuates.

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Quiet/rest space: 
Do you need access to a quiet/rest/private space during the working day? If so what do you need?
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Workshops:
What helps you do your best work? What do you need? Tell us about comfort or refreshment breaks for example, scheduling, and how best to manage your energy. 
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Religious/cultural beliefs: 
Do you have any religious or cultural beliefs that we need to take into account when planning projects? (e.g. 'I need a quiet space to pray' 'I will be fasting from X to Y dates' 'I'm not available to participate on X dates due to a religious holiday’)
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Physical restrictions/conditions/injuries: 
Do you have any physical restrictions or injuries and if so, how do they impact you? 
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Communication :
How do you like people to communicate with you and in what form? Do you communicate better in a certain way? (e.g. 'I would appreciate any written resources being sent to me before/after the session')

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Support worker :
Do you sometimes need a support worker? Do you have someone who regularly supports you who we can expect to come along with you?

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Ongoing medical treatment :
Do you have any ongoing treatment that you might need to attend appointments for during the work day? Do you carry any emergency medication? (e.g., an EpiPen, inhaler or insulin)

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Materials :
Do you need specific materials to be available for you to do your best work, eg. scripts printing on coloured paper, more visual aids?
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Social Media, website and your image : 
Are you happy to feature in pictures and/or videos for Spymonkey's Social Media posts, website and promotional pictures/footage? 
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Required
Anything else? 
This rider is a work in progress. Have we missed anything? Anything else you'd like us to be aware of? 

Emergency Information:
Here please write what should happen in the case of an emergency and who to contact.

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Supporting information :
Here you can link us to more information about any condition it might be useful to know and you might want us to be more aware of.

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Access Rider Credit : Tangled Feet
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