Expressions of Interest Form: Meeting Centered Support A form for Friends to express interest in hosting a Local Development Worker or staff cluster/hub. BYM and Woodbrooke will be joint data controllers of the personal data you provide to us through this form. By completing this form and providing your personal data you are consenting to our processing of the data for the below purpose. We will use this data in relation to the provision of meeting centred support as described in the introductory text for this survey. All data provided will be kept securely and not shared with any other organisations, or used for any other purposes. We will keep this data for 5 years, after which time it will be securely disposed of. If we transfer this data to any external software providers, we will take all reasonable steps to ensure they comply with GDPR. We do not use data to make automated decisions or in any profiling. We do not sell data. Name * Required First Last Address * Required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email * Required PhoneTell us about yourself.This section will probe for more details about who you are, and who you represent. Who are you speaking on behalf of? Select All Yourself Formal discussion in business meeting Informal discussion in your meeting/Quaker community Other Please tell us the name of your Quaker CommunityPlease add minutes from a local/area business meeting or notes of your discussion if it would be helpfulThis section gathers information about your interests in a LDW or hub/clusterWhich development are you interested in? Local Development Worker Hub/Cluster Both There will be further questions on the form which are dependent on which boxes are selected.Local Development WorkersWhat benefits would you hope a LDW would bring?Tell us about any intitives which are underway or being considered where a LDW could helpWhat things are not going so well, where having a LDW could help?These answers will be confidentialIs there anything else you’d like to tell us about the possibility of having an LDW?Hubs or clustersWhat benefits would you hope for from having a hub or cluster in your locality?How might the Yearly Meeting benefit from there being a hub/cluster in your area?Anything else you'd like to tell us about having a hub/cluster in your locality?Is there anything else you think we need to know about your Quaker community, area, plans etc..?