Bristol Dial a Ride - How to Join

Joining online

This page of the application form is anonymous and will be stored separately to your personal details

Bristol Dial-a-Ride is working towards being an equal opportunity organisation. We would like you to fill in this form so that we can ensure that we are reaching all sections of the community.

If you would prefer not to answer a question, please tick the answer ‘would rather not state’.

Do you consider yourself a Disabled person? (Please select one option)

Yes

Would Rather Not State

For Bristol Dial-a-Ride purposes, a disabled person is someone who has great difficulty, or cannot access conventional public transport.

Ethnic Origin (Please select an option from the dropdown menu)

Please note that these categories reflect those used in the 2001 Census.
How would you describe your ethnic origin? (If you do not identify with any of the categories listed, please use one of the ‘other’ categories).

Gender (Please select one option)

Male

Female

Would Rather Not State

Postcode

What postal area do you live in?
Please state first 3 or 4 digits e.g. BS3 / BS14.

Age (Please select an option from the dropdown menu)

Religion (Please select one option)

The collection of equalities information conforms with employment provisions in the Sex Discrimination Act (1975), the Race Relations Act (1976) and the Disability Discrimination Act (1995).

Bristol Dial-A-Ride

Sponsors

Joining online