V4CE Subscriber Application
Organisation details
Fields marked * are required
Organisation*
Contact Forename*
Contact Surname*
Address*
City*
Post Code*
Area You Cover*
Please choose
District / Local Authority
Individual
International
National
Neighbourhood
Regional
Sub Regional / County
Region Based In*
Please choose
East Midlands
Eastern
Greater London
North East
North West
Northen Ireland
Other
Scotland
South East
South West
Wales
West Midlands
Yorkshire and Humber
Telephone*
Fax
Email*
Web site
Legal Status*
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Charity
Charity and Company
Company
Other
Charity Number
Company Number
Organisation Type*
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1st Tier/Frontline/Service delivery
Business
Community Organisation
CVS
Funders
Individual
Local government
National government
Non Departmental Public Body
Other
Private Sector
Regional government
Social Enterprise
Statutory
Umbrella body/2nd Tier/infrastructure
Voluntary Organisation
Annual Income*
Please choose
Less than £10,000 per year
£10,000 and above per year
What is the aim of your organisation?
Subscription Type*
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Associate
Friend
Full
Contact
Which of the following client groups are supported by your organisation?
Click the options that apply. It can be more than one.
16 plus
Adults
All
All Children / Young People
Asylum Seekers
BME
Charities and Voluntary Bodies
Disability
Elderly People
Faith
Gender
Generic/All
Homeless
Homeless People
LGBT
Other
People with HIV/AIDS
Refugees
The Environment
Up to 16
Women
Which of the following BME groups does your organisation work with?
Click the options that apply. It can be more than one.
Afghanistan
All ethnicities
Asian
Asian Other
Bangladeshi
Black African
Black British
Black Caribbean
Chinese
Greek
Greek Cypriot
Indian
Iraqi
Irish
Jewish
Latin American
Mixed Parentage
Other
Other African
Pakistanii
Polish
Somali
Turkish
White Other
What are your organisation's areas of interest?
Click the options that apply. It can be more than one.
Advice
Advocacy
Age
All
Arts and Culture
BME Communities
Capacity Buildings
Childrens / Young people's
Consultancy
Crime and Policing
Disability
Discrimination
Education
Employment
Faith
Financial
Gender
Generic/All
Governance
Health and Social Care
Housing
Infrastructure
LGBT
Older People
Other
Policy
Recruitment
Refugees
Regeneration and renewal
Research
Training
All data supplied on this form will be treated in accordance with Data Protection Act 1998 and will not be passed on to a third party without your express permission.