Application Form ONE Lancashire Limited April 2014

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ONE Lancashire Limited
Application for Membership
Introduction
Thank you for your interest in joining ONE Lancashire Limited. Before completing this form, please check
the eligibility criteria and read the guidance notes which can be found on the website
http://onelancashire.org.uk/membership/one-lancashire-limited/
If you have any queries, FAQs can be found here: http://onelancashire.org.uk/membership/faqs/
Or contact Alice Carline, ONE Lancashire Co-Ordinator on communications@onelancashire.org or phone
01772 200690
Quality Assurance Criteria
ONE Lancashire believes that frontline services must be able to have confidence in the infrastructure
organisations that support them. Because we believe that quality of service delivery is so important, we
have made meeting our Quality Assurance Criteria an integral part of the ONE Lancashire Limited
Membership application process.
The Criteria gives ONE Lancashire confidence that the infrastructure organisations we commend to
frontline organisations will provide a high quality service based on best practice for the sector.
The Application form is designed to be user-friendly, quick to complete, yet at the same time robust. The
scheme will recognise the high quality of service already provided by many Lancashire Infrastructure
organisations.
Please note that if you do not currently hold an externally verified quality standard you can still be a
member of ONE Lancashire Limited provided you meet the rest of the criteria, however, you will not be
eligible to take part in joint bidding under ONE Lancashire. If your organisation wishes to gain a quality
standard, ONE Lancashire can signpost you to members who can support you through the process.
What Happens Next
Please send your completed applications by email to communications@onelancashire.org or by post to
ONE Lancashire Limited, Unit G14, Preston Technology Centre, Marsh Lane, Preston, PR1 8UQ
ONE Lancashire will assess your application against the eligibility and quality assurance criteria and will be
in touch shortly.
If your application is successful you will be invoiced for your annual subscription
Data protection: Personal data is gathered in accordance with the Data Protection Act 1998. Your data will be held on our
database and may be used to keep you informed of our products and services.
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ONE Lancashire Limited
Application for Membership
1. Organisational Details
Name of Organisation:
Trading Name
(If different from above)
Is your organisation Incorporated?
Governance Structure / legal form
(Eg CIC, CIO, Limited by Guarantee)
Registered Company Number
(if applicable)
Registered Charity Number
(if applicable)
Number of Staff
(full time equivalent)
Address:
Contact Name:
Position:
Main Telephone:
Email Address:
Website:
Eligibility Criteria
You are an infrastructure organisation working in Lancashire
By infrastructure organisation, we mean civil society organisations whose main or only (over 51% of your organisations
delivery) purpose is to support the work of other groups in the voluntary, community and faith sector. This purpose will usually
appear in the governing document of your organisation or will be apparent from the work you have carried out.
2. About You
Please explain briefly about the work your Organisation does and how you meet the eligibility criteria. Please include in which
regions in Lancashire you operate, who your beneficiaries are and your area of specialism. (No more than 200 words)
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ONE Lancashire Limited
Application for Membership
3. Insurance
Policy Details
Insurer
Amount Insured
Expiry date
Public Liability
Employer Liability
Professional Indemnity
Other (Please specify)
4. Statements of Expectation
Our organisation complies with existing legislation which impacts on the services we deliver and we keep
abreast of new legislation
Yes / No
Our organisation implements policies which uphold equality & diversity and confidentiality in all aspects of
service delivery
Yes / No
Our organisation has an appropriate safeguarding policy and a nominated person responsible for its
implementation
Yes / No
Our organisation reviews its policies and procedures annually
Yes / No
Our customers are provided with current and accurate information which is appropriate for them
Yes / No
Our organisation supports the continuous professional development of our staff
Yes / No
Our services are subject to continuous improvement as a result of monitoring, review & evaluation for
customer satisfaction
Our organisation works with other support agencies to ensure continuous improvement, appropriate
referrals and customer satisfaction
Our organisation has an open process for complaints and is committed to dealing with these fairly &
effectively
Yes / No
Yes / No
Yes / No
5. Quality Standard(s)
Please detail below the externally verified Quality standard/s which your organisation has achieved:
If you do not currently hold a quality standard go to question 6
Quality Standard
Level of
Award
Date
Achieved
Review
Date
Certificate
provided
Investors in People
Yes / No
Investors in Volunteers
Yes / No
PQASSO
Yes / No
NAVCA Quality Award
Yes / No
MATRIX
Yes / No
EFQM Excellence Model
Yes / No
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Any Other
Information
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ONE Lancashire Limited
Application for Membership
ISO Standard(s)
Yes / No
Volunteering England
Yes / No
Other:
Yes/ No
6. Quality Standard Support
My Organisation can support VCFS groups to Gain a Quality Standard
Yes/No
My Organisation would like advice and support to gain a recognised quality
standard
Yes/No
7. Delivery staff and Service Products
Details of Details of products delivered and staff posts which will be delivering services to organisations referred by
ONE Lancashire:
Service
Staff Post (if
applicable)
Qualification and/or
experience and skills to
carry out role(s)
Accreditation/Award
gained Eg: Ascentis,
sfedi, CBA (if applicable)
8. Supporting evidence and testimonials
ONE Lancashire will require testimonials from two independent clients, funders, customers and/or service-users to
underpin the quality and effectiveness of the support your organisation delivers. Please contact your referees and
ask them to complete a testimonial using the template either attached to your application pack of#r download on
the website http://onelancashire.org.uk/membership/one-lancashire-limited/
In addition we ask for the names of ONE further person who has received a service from you who we may contact
at our discretion.
Note: the person providing the testimonial must not be a member of your governing body. The testimonial must be from
someone who has used and benefitted from your service/s within the last 6 months.
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ONE Lancashire Limited
Application for Membership
Referees to whom you have sent the testimonial template:
Testimonial 1
Testimonial 2
Name:
Address:
Organisation:
Telephone:
Email:
Relationship
Additional referees who ONE Lancashire may contact if required:
Referee 1
Name:
Address:
Organisation:
Telephone:
Email:
Relationship:
9. Member Declaration




I am an authorised officer acting for an on behalf of the organisation detailed above, we agree to become a member
of ONE Lancashire Limited
The organisation I represent is a Lancashire Infrastructure Organisation meeting the eligibility criteria
I confirm this organisation shares the aims and objectives of ONE Lancashire and understand the benefits and
commitments of membership
We are happy for information/contact details to be shared and uploaded to the One Lancashire Website
Name: …………………………………………….…………
Date: .........\...........\.................
Signature: ……………………………………………………………………………
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ONE Lancashire Limited
Application for Membership
Appraisers report (official use only)
Satisfactory
Yes/No
Comments/actions required
External Quality
Assessments
Statements of
Expectation
Testimonial 1
Testimonial 2
Comments
Presented to ONE Lancashire board meeting Date:
Quality assured provider confirmed
Yes / No
Review Date
Any further action required?
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