Disabled Workers Database Registration

Disabled Workers
Database Registration

If you are a self-employed disabled worker or an organisation, charity or company employing significant numbers of disabled people in meaningful employment workers you are welcome register your details on the Disabled Workers Co-operative database.

Individual Disabled Workers are welcome to register their skill, service or product FREE on the Disabled Workers Database.

Sheltered Employment Workshops & Charities employing disabled people are welcome to register either as a group or where your clients can offer individuals skills, individually. They can also list their website in our Website Directory under "Organisations supporting disability" in return for a reciprocal link, even if they do not employ any disabled workers in paid employment.

Commercial companies employing at least 25% of disabled workers in a significant role may also register on the database. They can also list their website in our Website Directory under "Website Links" in return for a reciprocal link.

For more information on registering and our terms and conditions please click here

If you are already registered please Click Here

If you have problems with the registration, please download our Word format form, which you can return to us via e-mail, or post and we will complete the registration for you. Download

Required information

Details that are made public

Data used in a search

Important: All inclusions to the Disabled Workers Database are entirely at the discretion of the Disabled Workers Co-operative, and can be disallowed for any reason what so ever.

First Name!:
Middle Name:
Surname!:
Trade Name!:	p? (if no Trade Name use your full name as you would like to appear in the database)

Password!:	(choose a memorable password)
Address 1!:
Address 2:
*Town:**	p
County:	!p
Post Code!:
Area!:
Tel:	p
Fax:	p
Disability ! or nature of Organisation :	(This information is not published on our database)
E-mail:	p
Web Site:	p (Enter full URL including http://www.) If you do not have a web site Click Here
Service/Trade!:	p? Please select an option from the list. If you offer more than one Service/Trade please add these as they are listed in 'Service/Trade' to the keywords below. To suggest a new 'Service/Trade' please select 'Suggest New..' and add suggestion in 'keywords' below between [ ] if sufficiently different, Admin will add this to services.
Describe the service you offer !:	p ? (Up to 250 characters including punctuation and spaces)
Key Words:	[ ] ? (Use up to 100 Characters including commas and spaces. Separate words or phrases by commas. *Tip*; if you used Accountant in description use Accountancy or Accountancy services as a keyword)
How did your hear about us?
Employees:	How many people in total are employed at your organisation? (If an individual please enter 1 paid & 1 paid with a disability)
	Paid !	Voluntary / Trainees

	Of these how many have a disability?
	Paid !	Voluntary / Trainees

Proof of Disability or Status ! One option must be selected	Individual or sole trader Disabled Driver's Orange/Blue Badge Disability Living Allowance (higher rate) County Council Social Services Letter Disability Eligibility Assessment Form Other (please state ) Or if representing an organisation Charity* Organisation* Company* * Registration No's. (Copies of these maybe required if you are to be accepted onto our database)
Declaration!	I declare that I have a disability, or represent a qualifying disabled person, organisation or business and that the above information is correct. I authorise the Disabled Workers Co-operative to make this information publicly available on the Disabled Workers database. I have read and understood the terms and conditions of the Disabled Workers Co-operative.
	YES	DATE: - dd/mm/yyyy
	(Declaration must* be checked if you are to included onto the disabled workers database)*

The Disabled Workers Co-operative Ltd. Reg No. 4418227

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