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Hounslow Voice Network Membership Application

Hounslow Voice Network Membership Application

1.Name of organisation / group(Required.)
2.Contact name(Required.)
3.Position in organisation / group(Required.)
4.Address of organisation / group(Required.)
5.Postcode(Required.)
6.Telephone
7.Email
Please note that email is our main method of communication with the network. We encourage you to provide a contact email address if at all possible.
8.Website
9.Brief description of what your group/organisation does (max 100 words)(Required.)
10.Legal status of organisation/group
(tick all that apply)(Required.)
11.Is your group based in Hounslow?
12.If you answered no to Qu 11, does your group work in Hounslow?
(If you answer No to both Qu 11 & Qu. 12 you are, unfortunately, not eligible for HCN Membership. Contact iain@ealingcvs.org.uk  for more information.)
13.In which of the five area committees of Hounslow are you operating/based?(Required.)
14.How many paid staff members does your organisation have?
(1 full-time member is the equivalent of 35hrs)(Required.)
15.Select up to five "work areas" from the options below, marked 1 to 5 (1 being your highest priority), which your group/organisation is most involved with.(Required.)
1
2
3
4
5
Animal Welfare
Arts & culture
BMER
Children
Dispute
Education
Environmental sustainability
Families
Health & Wellbeing
Learning Disability
Legal Advice
LGBT
Marriage / Civil
Men
Mental Health
Older People
Partnership
Physical Disability
Religion or Belief
Resolution / Mediation
Sport
Training
Women (inc. pregnancy / maternity)
Youth
Other (Please specify)
16.If you would like to know more about how we deal with your data and would like to know how to contact us regarding this and any other personal data issue please follow this link to our website and Privacy Statement.   Click Here