Introduction Salford CVS membership is free for voluntary, community and not-for private-profit organisations active in Salford. Please complete this form to apply for membership. The information you give us on this form will be used by Salford CVS to keep you up to date with information about what is happening locally and let you know about the services and support Salford CVS and other organisations can provide promote your organisation and what you do to people who may benefit from your services promote your venue and meeting space contribute to knowledge about the shape and size of the local voluntary and community sector to promote its role and significance help us to monitor whether we are being effective in the work we do Section 1: Contacting your organisation City Postcode Telephone Number Mobile Number Website Facebook Twitter Section 2: What your organisation does Description Markup What do you do? Please give a short description of your organisation, what it does and who it works with. Please be as clear as you can because this information will be added to our website. Where Do you work Markup Where do you work? If you only work in specific areas of Salford, please tick which areas. Services Markup Services and areas of work Please select your organisation’s main focus below. Your main focus will be used to categorise your organisation on the online directory. Groups Markup Who Do You Work With? Please tick up to four groups and only tick those client groups that you mainly work with. For example, if your organisation provides mental health services open to everyone, only tick ‘mental health problems’. If you deliver a mental health service specifically for women who use drugs, you would tick mental health problems, substance misusers, women. Venue and Meeting Space Your venue and meeting space The Salford voluntary and community sector online database has a venue and meeting room search function. If you have meeting or other space to hire out in Salford, please give the details here. Biggest room capacity Smallest room capacity Supporting Organisations Markup Supporting other voluntary and community organisations This section is only for those organisations who have ticked that they provide voluntary and community sector support and/or work with voluntary and community groups. What do you do? Where do you work? City Wide (whole of Salford) Claremont, Weaste & Seedley East Salford Eccles Irlam & Cadishead Little Hulton & Walkden Ordsall & Langworthy Swinton Worsley & Boothstown Services and areas of work Advice, support & information services Advocacy Animal welfare Arts & Culture and Heritage Befriending Business and social enterprise support Campaigning Carers services Children, young people & families Community development Community services and/or facilities Counselling and therapy services Crime and community safety Day care services Domestic abuse and/or sexual abuse Education/training Employment/work Environment and conservation Faith and/or religion Financial Services Funding and grants Health and well-being Homelessness Housing and related support International aid Lunch clubs Mediation Mental health services Mentoring Out of school provision/play work Poverty/low income Regeneration Sexual health Social activities Social and community care services Sports and leisure Substance misuse Telephone helpline Tenants and residents services Translating and/or interpreting Transport Voluntary and community sector support Volunteering Youth work Who Do You Work With? All Client Groups Adult offenders and ex-offenders and their families Asylum seekers and/or refugees Black and Ethnic Minority (all) Carers Children (under 5) Children (6-12) Children & young people with disabilities Faith communities Families and/or parents Gay/lesbian/bisexual Gypsies and travellers Homeless people Learning disabilities (people with) Lone parents Looked after children Long-term/chronic illness (people with) Low income (people on) Men Mental health problems (people with) Migrant communities Older people Physical disabilities (people with) Sensory impairment (people with) Substance misusers (drugs/alcohol) Survivors of abuse and/or victims of crime Tenants and residents Transgender Unemployed people Voluntary and community groups Volunteers Women Young people (13-19) Young offenders Other Other Groups of People If you selected Other, please list Do you have room/s for hire? Yes No How many rooms do you have available to rent? The Salford voluntary and community sector online database has a venue and meeting room search function. If you have meeting or other space to hire out in Salford, please give the details here. What facilities and resources do you have available to rent? Wheelchair access Hearing loop Catering provided Refreshments provided Car parking Disabled parking Photocopying Event management facilities Other resources Other Resources Description If you selected yes to Other Resources, please describe What area is your venue or meeting space in? City Wide (whole of Salford) Claremont, Weaste & Seedley East Salford Eccles Irlam & Cadishead Little Hulton & Walkden Ordsall & Langworthy Swinton Worsley & Boothstown What are your opening days and times, and when is your venue and meeting space available? What Kinds of Organisations Do You Support? Charity & Company law and registration Employing people Finance, accounting and bookkeeping Funding advice Governance (committees and trustees) ICT Marketing and communications Monitoring and evaluation Networks and partnerships Organisation development Planning Resources Trading and service delivery Volunteering Other Promoting Your Organisation Markup Promoting Your Organisation With your consent, the information that you have provided in sections previously in this form will be made public, including as part of the searchable database on Salford CVS’s website. This will help to promote your organisation, its work and activities. The information below this question will not be made public. Section 3: About your organisation About Your Organisation Markup About Your Organisation The information below is all confidential. It will be used for monitoring and administration purposes and to help us to target our services appropriately. It will also be used to provide general anonymised statistics about voluntary and community organisations that we work with, for example, how many organisations employ staff. Company Limited by Guarantee Yes No Company Number Community Interest Company Yes No Community Interest Company Number Registered Charity Yes No Charity Number Charitable Incorporated Organisation Yes No Charitable Incorporated Organisation Number Other Organisation Type Yes No Total number of volunteers Average hours worked by each volunteer Constituted Group (Unincorporated Association) Yes No Year Established How many Full-Time Equivalent (or FTE) employees do you have? Number of people on the Management Committee Total Income Does your organisation have any support and development needs? Yes No If yes, we can help so please tell us below and we will contact you BASIS (health & social Care forum) Yes No VOCAL(children, young people and families forum) Yes No Volunteers co-ordinators Forum Yes No Third Sector Leadership Group (for Chief Executives) Yes No Section 4: Salford CVS information, publications and services Apply for Membership Markup Applying for Salford CVS membership To apply for free Salford CVS membership you must be a voluntary, community or not-for-profit organisation that provides activities or services in Salford. You must also support our work and aims. Please confirm this below. Your Agreement Markup How we will use your information The information you have given on this form will be added to Salford CVS's database. If you have given your consent above, Salford CVS will also publicise you contact details and the information you have provided about your services and beneficiaries on the Search Groups facility on our website. We will not publish any other information. Salford CVS complies fully with the Data Proctection Action. Please ask if you'd like to see our Data Protection Policy. Declaration We confirm that we want to register on Salford CVS’s database and accept the terms in above (How we will use your information). We agree to become a member of Salford CVS, which is a charitable company. If the company is wound up, we promise to pay the sum of £10 towards its debts, if asked to do so. We confirm that we support Salford CVS’s aims and objects. Is your organisation signed up to the compact? Yes No My organisation understands the commitments and responsibilities as a signatory to the Compact and the associated Codes of Good Practice. Further information can be found at http://www.salfordcvs.co.uk/salford-cvs/salford-compact My organisation is: voluntary, community or not-for-profit Yes No My organisation provides services or activities in Salford Yes No My organisation supports the work and aims of Salford CVS Yes No Agreement with SCVS Terms and Conditions Organisation Name Street Address Street Address Line 2 Street Address Line 3 Email Is your organisation known by any other name? Main contact First Name Last Name Phone Number Email Role within organisation Employee ofVolunteer forTrustee forChief Exec (or equivalent) for Job Title Email Opt-Out Publications and Forums VOCAL (Children and Young People) Salford CVS E-News Funding opportunities BASIS (Health & Social Care) Training opportunities Trustee E-bulletin Volunteering in Salford Newsletter Strategic Voice Please indicate if you would like to receive any of our themed monthly e-bulletins or join our forums. Please note, a valid email is required for e-bulletins and forum invitations. Other Support Description Can the contact details be made public? Yes No I would like to hide my organisation's address on the public directory* Yes No I would like to hide my organisation's telephone number on the public directory Yes No Community Benefit Society Yes No Community Benefit Society Number Co-operative Society Yes No Co-operative Society Number