Membership Application Form November 2014

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Membership Application Form
Group Name:
Contact Name:
Position:
Contact Address:
Your groups correspondence address (if
different)
Postcode:
Fax number:
Postcode:
Website:
Tel:
Email:
Describe briefly your group (e.g. what you do and where you meet etc.) (please note that
this information may be used to advertise your group on VAO’s website)
When was your organisation established? Date / Month / Year
What’s your group’s legal/ charitable status?
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Charity Incorporated Organisation (CIO)
Company limited by guarantee
Charitable Trust
Community Association
Community Interest Company
Constituted Group
Co-operative
Friends Society
Registered Charity
Social Enterprise
Not Constituted
Registered number ……………….
Company number ……………….
Registered number ……………….
Registered number ……………….
Legal structure …………………….
Where does your Organisation carry out its Main activities?
 All
 Failsworth West
 Saddleworth North
 Alexandra
 Hollinwood
 Saddleworth South
 Chadderton Central
 Medlock Vale
 Saddleworth West & Lees
 Chadderton North
 Royton North
 Shaw
 Chadderton South
 Royton South
 Waterhead
 Coldhurst
 St James
 Werneth
 Crompton
 St Mary’s
 Failsworth East
Who are your MAIN beneficiaries? (please tick only MAIN beneficiaries)
 All Adults
 Animals
 Carers
 Children & Young People
 Children (under 5)
 Black & Minority Ethnic
with disabilities
People
 Children (6-12)
 Men
 Families
 Gay/Bisexual/Lesbian
 Older People (Over 60
 Migrant Communities
 Offenders/Ex-Offenders
 People with disabilities
 People with Learning
years)
 People with Mental Health
Issues
 Refugee & people seeking
Disabilities
 Single Parents
asylum
 Substance Misusers
 Tenants and Residents
 Transgender People
 Unemployed
 Women
 Young Offenders
 Young People (13-19)
 Young People (19-25)
What is your organisation’s Main area of work (tick one box only)
 Advice & Information
 Animals
 Economic, Social and Community
Development
 Employment and Training
 Health
 International
 Religion
 Supporting voluntary and Community
Organisations
Other (state what): __________________
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Arts, Culture, Sport and Recreation
Education and Research
Environment
Housing
Law, Crime, Human/ Civil rights and
Information
 Social Services and Individual Support
 Transport
What was your organisation’s total income during the last year, approximately? _______
How many paid staff do you have?
Full Time
_______
Part Time
_______
How many regular volunteers do you have? _______
RECEIVING INFORMATION
Voluntary Action Oldham regularly sends out newsletters and other information by post and
email.
Please tick the relevant box if you would like to receive this information.
 Funding Alert - a monthly e-bulletin with news and information about the latest funding
available in the area.
 VAO news alert - a monthly e-bulletin with local, regional and national news, information and
training for groups.
 VAO Policy and Partnerships Bulletin – a monthly update on local, regional and national
policies and partnerships
 VAO Training News – regular updates on training relevant to the voluntary sector.
 Volunteer Centre Oldham opportunities – a regular e-bulletin highlighting volunteering
opportunities in the local area.
 Volunteer Coordinators eBulletin – news and information relevant to voluntary organisations.
 VAO Newsletter - posted out 3 tmes per year, contains news and information relevant for
voluntary, community and faith organisations throughout the Oldham Borough.
-------------------------------------------------------------------------------------------------------------------------------I am happy for my details to be displayed on the VAO website:
Yes  No 
Alternatively, please indicate what information you do not want to be made public.
--------------------------------------------------------------------------------------------------------------------------------I give permission to VAO to pass our contact details to other organisations, if VAO believes it will
be beneficial.
Yes  No 
MEMBERSHIP OF VOLUNTARY ACTION OLDHAM
(Only complete if you want to become a member of VAO)
To be eligible for full membership of VAO, groups and organisations should be able to
demonstrate that:
 they are committed to supporting the principles of equality and diversity, consistent with the
policies of VAO
 they deliver activities that principally benefit people living in the Metropolitan Borough of
Oldham
 if they are linked to a particular religious group, church of faith community, its community
activities are not primarily intended to promote a particular religion or faith
 their group /organisation is founded on charitable principles where people have come
together to take action for the benefit of local communities rather than for financial gain
have a written constitution that outlines how its affairs are managed by and/or are
accountable to a group of people for no economic or similar advantage
I would like to become a member of VAO and I enclose a copy of our signed constitution
(or set of rules): Yes  No 
MEMBERSHIP OF THE VOLUNTARY COMMUNITY & FAITH PARTNERSHIP
(VCFP):
Please note that as a group who has registered with VAO, you now automatically become a
member of the VCFP.
The Voluntary, Community and Faith Partnership (VCFP) is the representative body and voice for
the third sector which includes all voluntary, community and faith groups and covers all of the
Oldham borough. The VCFP has now changed its membership criteria so anyone from this sector
can join and get involved. Being a member of the VCFP will benefit you in a number of ways. It
will:
 give you the opportunity to raise issues and concerns affecting you and the communities
you work with
 act as a body to consult, identify gaps, shape and influence the planning and delivery of
services and advocates on your behalf as a sector.
 enable you to work together with other groups in Oldham to become a stronger third sector
 give you a stronger voice as it is now represented on all the key strategic partnerships of
the Council including the Oldham Partnership and you have the opportunity to influence
decision making
 mean you receive information on the activities of the VCFP and be invited to attend the
meetings and special briefings
 enable you to join and work through the equality networks and forums to raise specific
issues for communities of interest such as Black Minority Ethnic (BME), Disability, Age,
Race, Faith, and Sexual Orientation
The more groups and organisations that join the VCFP the stronger the voice!
If you would like more information about the VCFP please contact Nayan Joshi 0161 633 6222
DATA PROTECTION STATEMENT
Under the Data Protection Act 1998, the information provided by you in this registration form will
be held and analysed by VAO as data controller and other voluntary sector infrastructure
organisations across Greater Manchester on computer. This form will be kept manually by VAO.
The information will be used by VAO for the monitoring and promotion of the voluntary and
community sector in Oldham and Greater Manchester.
Your organisation’s contact details (name, contact address, telephone number, e-mail and website
address) and information about its main function and type of clients may be published, via
appropriate sources, unless the organisation has stated that they do not want this information to
be shared. Apart from this information, no other information will be passed on to a third party
without permission.
The data may be considered sensitive or personal data when the data and / or the organisation is
involved with matters relating to race, ethnic origins, politics, union membership, religion or similar
belief, disability, or sexual orientation.
This registration form should be signed by the lead contact for your organisation.
I declare that the information I have given is correct and authorise you to hold this information on
your database and use it in ways that are in line with your aims and the ways indicated by the data
protection options selected above.
Organisation
Name (please print)
Signature
Date:
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