Step 1 of 5 20% Why are we asking for this information? The information provided will be added to your Co-operative Party membership record, and used to facilitate your membership of our networks, including voting in internal elections. The information will also allow the Party to better understand the diversity of its membership. Providing this information is voluntary and you can decide to answer some questions and skip others. All data provided will be stored securely in keeping with our Privacy Notice, and will not be shared with our local branches or anyone outside the Party. You have the right to request the deletion of some or all of this data at any time. Please Confirm Your Personal DetailsEmail Address or Membership Number*Your six digit Co-operative Party membership number can be found on your purple membership card or check your emails.Postcode*Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 EthnicityDo you consider yourself black, asian or minority ethnic (BAME)?*YesNoPrefer not to say DisabilityDo you consider yourself to have a disability?*YesNoPrefer not to say Sexual OrientationDo you consider yourself to be LGBTQ+?*YesNoPrefer not to say ContentsStep 1 of 5 Please Confirm Your Personal DetailsEthnicityDisabilitySexual Orientation