VAAC MEMBERSHIP FORM
Organisation
Contact
Name
Address
Job
Title
Telephone
Email
Mobile
Website
HOW CAN WE USE YOUR INFORMATION?
(Please circle as appropriate)
Would you like to receive our quarterly newsletter? (this
Yes/No
is posted out). You will routinely receive one copy, if you would
like to receive further copies please indicate how many. These will
be sent to the main address for distribution.
Would you like to receive our weekly email bulletin?
Yes/No
If yes, please nominate the person and their role who will receive it.
Name:
Role:
Would you like to receive other correspondence
through the mail? (information about training, events etc)
Would you like to be included in our Directory?
Yes/No
Would you like to be included in a Public Directory?
Yes/No
Yes/No
WHICH CATEGORIES BEST DESCRIBE YOUR ORGANISATION AND SERVICES?
(Please tick all that apply)
Advice/Information
Drugs and Alcohol
Parish/Town Councils
Alternative Therapies
Education
Refugees/Asylum Seekers
Arts and Music
Environment
Religious/Cultural
Black/Ethnic Minorities
Finance
Service Provision
Carers
Health
Sexual Health and HIV
Children/Families
Homelessness
Social Enterprise
Community
Development
Housing
Sports/Leisure
Community Safety
Legal
Statutory Organisation
Community Welfare
Medical
Support Groups
Counselling
Mental Health
Transport
Disabilities - Learning
Mobility
Volunteers
Disabilities - Physical
Older People
Youth
Other (Please state):
MEMBERSHIP PRIORITY BENEFITS

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Information/e-bulletin/newsletter
Subsidised access to training and events
Priority booking – only to members first week
Free resources – equipment loan e.g. projector, display boards, laptop, photocopier
etc.
Networking opportunities
Voting rights
Priority referral to development team support
Preferred access to other projects – volunteering support, ECP
PLEASE GIVE BRIEF DETAILS OF YOUR ORGANISATION AND SERVICES
(Please restrict to a maximum of 100 words)
PLEASE CAN YOU INDICATE WHETHER YOU HAVE OR ARE WORKING TOWARDS
CREATING THE FOLLOWING FOR YOUR ORGANISATION
(we can support you in establishing policies and procedures for your organisation)
We have
A clearly defined purpose
A decision-making mechanism (e.g. a committee)
A set of rules or a constitution
A bank account and financial records
An equal opportunities policy
We are
developing
We would
like support
to develop
DATA PROTECTION
Please sign to agree to us holding your organisation’s details on our computer
database. We will only use your information as you have indicated on this form. If
you have asked to be included in our Directory your details will be published and
therefore shared with interest enquiries.
We………………………………………………..agree to become a Member Organisation
of Voluntary Action Arun & Chichester (VAAC). Should VAAC be wound up, we
promise to pay £1 towards its debts if asked to do so.
Signed
Date