We are very pleased that you want to make a commitment to be an LGBTQI+ ally. We are very pleased that you want to make a commitment to be an LGBTQI+ ally. Please ensure you have read an understood the pledge statements. Once you feel able to commit to these, please complete this form and you’ll be sent a rainbow lanyard and badge.
Name(Required)
(where you work in the Trust so we can get a lanyard and badge to you)

I confirm that:

I understand wearing a rainbow lanyard and badge means I will be inclusive and be a friendly contact for LGBTQI+ patients, families and staff.(Required)
I have read and understood the information in the LGBTQI+ Allies Guide on the Intranet.(Required)
I understand what to do if I think a situation requires additional support or escalation.(Required)
Please confirm your name in BLOCK CAPITALS