Kirklees e-panel joining form                                        


By filling in this form you are telling us you want to be part of the Kirklees e-panel.  

Your contact details and personal information will be held safely and securely by Kirklees Council.  We won't share your personal details with other organisations. We will get in touch with you to share opportunities to get involved in surveys and other activities.

This form asks some questions about you, as we need to make sure the e-panel has the right balance of people of different ages and backgrounds. When we analyse the results of the surveys you take part in, we may also use this information to see how results vary between different groups.

 Please click the button below to confirm that you consent to your responses being used as described above.  If you do not wish to consent, please exit this page by closing your browser.  
 Are you:
 Do you?  Please select all that apply
Thank you.  Please click on the tick to finish.  You will receive an email from Kirklees e-panel next time there is an opportunity to get involved.