CAN Engage Charity / Social Enterprise Form Survey

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1. Your Name:

Your Name:

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2. Name of your organisation:

Name of your organisation:

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3. Please enter your contact details:

Please enter your contact details: Address:
Address 2:
City/Town:
Postal Code:
Country:
Email Address:
Phone Number:

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4. What is your position in the organisation?

What is your position in the organisation? Chair, Board of Directors, Trustee

Chief Executive

Senior Management (reporting to CE)

Employee

Volunteer

5. Website of your organisation:

Website of your organisation:

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6. When was your organisation established?

	Month	Year
Month/Year	When was your organisation established? Month/Year Month	Year

If your organisation was established before 1900, please type the year in the box below

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7. How many staff in your organisation?

How many staff in your organisation?

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8. How many volunteers work in your organisation?

How many volunteers work in your organisation?

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9. What is the legal status of your organisation? (Tick all that apply)

What is the legal status of your organisation? (Tick all that apply) Company Limited by Guarantee

Community Interest Company (CIC)

Limited Company

Co-Operative - non-profit

Co-Operative - distributes profits

Mutual & Provident Society

Charity

Incorporated Charity

Non Govermental Organisation (NGO)

Voluntary Sector Organisation (VSO)

Voluntary & Community Sector Org. (VCSO)

Public Limited Company (PLC)

Partnership

Limited Liability Partnership (LLP)

Sole Trader

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10. What is the MAIN focus area for your organisation?

What is the MAIN focus area for your organisation? Advocacy Arts Childcare Domestic Services Housing Health Services Education Training Consultancy	Transport Environmental Services Volunteering Disability Hospitality Creative Services Human Rights International Aid/Development Media	Research Manufacturing Legal Services Animal protection/welfare Technology/ICT Sport/Leisure Services Other
Other (please specify)

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11. Please provide a summary, of no more than 150 words, on the MAIN business activity of your organisation.

Please provide a summary, of no more than 150 words, on the MAIN business activity of your organisation.

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12. Annual Turnover: What is your organisation's annual turnover? (Please type in full e.g. £ 100,000)

Annual Turnover: What is your organisation's annual turnover? (Please type in full e.g. £ 100,000)

13. Does your organisation have at least three years' trading history and audited accounts?

Does your organisation have at least three years' trading history and audited accounts? Yes

No

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14. What percentage of your turnover is earned income? (i.e. sale of goods/services, contracts secured through competition/procurement)

What percentage of your turnover is earned income? (i.e. sale of goods/services, contracts secured through competition/procurement) 0%

1 - 20%

21 - 30%

31 - 50%

over 51%

1. Section A - About your organisation (CAN Engage Charity/SE Application Form)