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"><input name="customField-777785" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 10px; font-family: Raleway,sans-serif; margin-left: 0; padding-top: 10px; border-color: #ededed; border-style: solid; border-width: 2px; margin-right: 0; padding-left: 15px; border-radius: 4px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #ffffff; -webkit-appearance: none; " width="100%" required="required" placeholder="Organisation"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="emailAddress" type="text" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 10px; font-family: Raleway,sans-serif; margin-left: 0; padding-top: 10px; border-color: #ededed; border-style: solid; border-width: 2px; margin-right: 0; padding-left: 10px; border-radius: 4px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #ffffff; -webkit-appearance: none; " width="100%" required="required" placeholder="Email address"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-811482" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 10px; font-family: Raleway,sans-serif; margin-left: 0; padding-top: 10px; border-color: #ededed; border-style: solid; border-width: 2px; margin-right: 0; padding-left: 10px; border-radius: 4px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #ffffff; -webkit-appearance: none; " width="100%" placeholder="Access requirements"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><input name="customField-777832" type="TEXT" style="color: #000000; width: 100%; display: block; font-size: 14px; box-sizing: border-box; margin-top: 10px; font-family: Raleway,sans-serif; margin-left: 0; padding-top: 10px; border-color: #ededed; border-style: solid; border-width: 2px; margin-right: 0; padding-left: 10px; border-radius: 4px; margin-bottom: 10px; padding-right: 15px; padding-bottom: 10px; background-color: #ffffff; -webkit-appearance: none; " width="100%" placeholder="Dietary requirements"/></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 10px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #4d4d4d; position: relative; font-size: 14px; font-family: Raleway,sans-serif; ">The names, job titles and organisations of individuals who attend the Employment and Skills Convention may be included in a delegate list. Please let us know if you would <span style="text-decoration: underline;" data-mce-style="text-decoration: underline;">not</span> want to be included on our delegate list. For further information, please see our <a href="https://learningandwork.org.uk/privacy-policy/" data-mce-href="https://learningandwork.org.uk/privacy-policy/" style="color: #ee7e3b;"><strong>privacy policy</strong></a>.</div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 15px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-812838" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #ededed; border-style: solid; border-width: 2px; border-radius: 4px; background-color: #ffffff; " value="0"/></td><td valign="top"><div style="color: #4d4d4d; font-size: 14px; text-align: left; font-family: Raleway,sans-serif; ">I would like to opt out from appearing on the delegate list</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 0px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #4d4d4d; position: relative; font-size: 14px; font-family: Raleway,sans-serif; "><h3><span style="color: #333333;">Stay informed. Be involved. Keep engaged.</span></h3></div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 0px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 0px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #4d4d4d; position: relative; font-size: 14px; font-family: Raleway,sans-serif; ">Become a Learning and Work Institute Supporter and receive information about our latest work, news and events, as well as our monthly newsletter.</div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 15px; margin-bottom: 15px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-812246" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #ededed; border-style: solid; border-width: 2px; border-radius: 4px; background-color: #ffffff; " value="0"/></td><td valign="top"><div style="color: #4d4d4d; font-size: 14px; text-align: left; font-family: Raleway,sans-serif; ">I\'d like to become a Supporter</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 0px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 10px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #4d4d4d; position: relative; font-size: 14px; font-family: Raleway,sans-serif; ">If you\'d like to become a Supporter, select from the options below to help us tailor our communications to your interests.</div></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-777369" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #ededed; border-style: solid; border-width: 2px; border-radius: 4px; background-color: #ffffff; " value="0"/></td><td valign="top"><div style="color: #4d4d4d; font-size: 14px; text-align: left; font-family: Raleway,sans-serif; ">Lifelong learning</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-777370" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #ededed; border-style: solid; border-width: 2px; border-radius: 4px; background-color: #ffffff; " value="0"/></td><td valign="top"><div style="color: #4d4d4d; font-size: 14px; text-align: left; font-family: Raleway,sans-serif; ">Essential skills</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-777371" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #ededed; border-style: solid; border-width: 2px; border-radius: 4px; background-color: #ffffff; " value="0"/></td><td valign="top"><div style="color: #4d4d4d; font-size: 14px; text-align: left; font-family: Raleway,sans-serif; ">Employment</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-777372" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #ededed; border-style: solid; border-width: 2px; border-radius: 4px; background-color: #ffffff; " value="0"/></td><td valign="top"><div style="color: #4d4d4d; font-size: 14px; text-align: left; font-family: Raleway,sans-serif; ">Better work</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 10px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-777373" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #ededed; border-style: solid; border-width: 2px; border-radius: 4px; background-color: #ffffff; " value="0"/></td><td valign="top"><div style="color: #4d4d4d; font-size: 14px; text-align: left; font-family: Raleway,sans-serif; ">Young people</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; flex-direction: column; "><table style="margin-top: 10px; margin-bottom: 30px; " cellpadding="0" cellspacing="0"><tr><td width="25" valign="top"><input name="customField-777374" type="checkbox" class="mp_checkbox" style="color: #000000; width: 15px; height: 15px; margin: 0px; display: block; box-sizing: border-box; visibility: visible; border-color: #ededed; border-style: solid; border-width: 2px; border-radius: 4px; background-color: #ffffff; " value="0"/></td><td valign="top"><div style="color: #4d4d4d; font-size: 14px; text-align: left; font-family: Raleway,sans-serif; ">Apprenticeships and technical education</div></td></tr></table></div><div class="mpm-col-xs-12" style="display: flex; position: relative; margin-top: 0px; margin-left: 10px; padding-top: 0px; margin-right: 10px; padding-left: 0px; margin-bottom: 20px; padding-right: 0px; flex-direction: column; padding-bottom: 0px; "><div style="color: #4d4d4d; position: relative; font-size: 14px; font-family: Raleway,sans-serif; "><p class="content__gdpr"><span style="font-family: Raleway, sans-serif; font-size: 14px; color: #333333;" data-mce-style="font-family: Raleway, sans-serif; font-size: 14px; color: #333333;">Learning and Work Institute will use the information you provide on this form to keep you updated on our work. 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