Membership Application Contact Details Previous Next Consortium exists to support LGBT+ groups and organisations to create stronger LGBT+ Communities. If your organisation is not LGBT+ specific, please contact us prior to completing this form to check whether your organisation is eligible for Membership. Thank you. If you have any accessibility needs with regard to completing this form, please get in touch: [email protected] The following information will not appear on your Directory Page and is strictly private & confidential. Name of main contact First name Last name This should be the name of the person who will be responsible for your Membership with Consortium Name of main contact * This should be the name of the person who will be responsible for your Membership with Consortium Contact's pronouns Please use this space to tell us what pronouns this person uses (eg. he/she/they), this is optional but recommended. Contact's role within your organisation * Contact's phone number * Contact's email address * Do you have any specific access requirements that you would like to make us aware of? Yes No Please provide details Organisation/Group Details Previous Next Organisation/Group name * This should be the working name of your organisation or group. Legal name Please provide the legal name of your organisation, if different to the working name. Acronym/abbreviation Is your organisation known by any other name or acronym? Your address will not appear on your Directory Page and is strictly private & confidential. Location name e.g. Head office, venue, meeting point. Address line 1 * Address line 2 Town/City * County (or Borough if based in London) * Postcode * Country * Does your organisation have a public phone number? If yes, please enter it here. Otherwise you can leave this box blank. What is your organisation's main contact email address * Website address Please include your full website address, starting with https... (it's best to copy and paste it from the address bar). Opening hours (if applicable) Meeting times (if applicable) Logo Upload Image Files must be less than 5 MB. Allowed file types: png gif jpg jpeg. Images must be between 100x100 and 2000x1500 pixels. About your Organisation Previous Next What is the legal structure of your organisation? * Charitable Incorporated Organisation (CIO) Community Benefit Society (CBS) Community Interest Company (CIC) Informal Group (for groups without a governing document) Private Sector Public Body Registered Charitable Company Social Enterprise Unincorporated Association (for groups that have a constitution) Please provide your CURRENT legal structure. If you are applying for an alternate legal structure and this hasn't been confirmed, please DO NOT include this. Are you a registered charity? * Yes No Please provide your charity number * Please provide your company number * Please provide your registration number * What is its main function? * Arts Campaigning/Representation Community Development Health & Wellbeing Infrastructure Interest/Social Group Pride Organisation Research Service Provider Sport Youth Group We understand that your organisation might have more than one function, but for the purpose of this question, we would like to know its main function. Please tell us about your organisation and the work it does * This will be displayed on your Directory Page and is your opportunity to tell potential service users about your organisation and the work it does. Feel free to copy & paste information from the 'About Us' page on your website (or similar). The Work of your Organisation Previous Next The answers you give in this section will help people search for your organisation based on the work it does, who you provide services for and where in the country you operate. Therefore, it is vital that you only select your key areas of work. What are your organisation's key areas of work? * Advice/Information Advocacy Arts Befriending/1:1 Campaigning/Activism Counselling Disability Domestic Abuse Drop-in Service Education Employment Equal Opportunities/Discrimination Events Faith Gender Harassment Healthcare Helpline Housing/Homelessness Immigration Infrastructure/Community Development Legal Advice Mental Health Networks Other Outdoors/Sports Policing Policy/Representation Pride Publications Research Resource Library Self-help/Support Group Sexual Health Sexual Violence Social Group Substance Misuse Training Volunteering Who do you provide services for? * Ace Spectrum Communities All LGBT+ Communities Bisexual Men Bisexual Women Black, Asian and Minoritised Ethnicities Gay Men Intersex/Variations in Sex Characteristics (VSC) Lesbians/Gay Women Men Non-UK Residents Other People of Faith People over 50 People with disabilities Trans People/People with gender histories Women Young People We are keen to better understand the specific communities served across our membership. Please use this space to describe those communities facing racial inequity that you work with. Use the 'plus' (+) icon on the right-hand side to add as many boxes as you need to list all of the communities your organisation works with. Are Trans People/People with gender histories the main focus of your organisations work? * Yes No Consortium hosts a busy and effective network of trans-specific organisations which is developing a strategic voice for the trans sector. The Trans Organisations Network (TON) is community led and aims to amplify the voices of Trans Groups across the UK. Would your organisation be interested in joining this network? Yes No Please provide the name of the person from your group that would like to opt-in to this network Contact's pronouns Please use this space to tell us what pronouns this person uses (eg. he/she/they), this is optional but recommended. Email Address Area of operation * – select a region – East Midlands East of England England Greater London North East North West Northern Ireland Outside of the UK Scotland South East South West UK Wide Wales West Midlands Yorkshire and the Humber Specific area/s of operation (if applicable) Use the 'plus' (+) icon on the right-hand side to add as many boxes as you need to list all of the specific areas your organisation operates in. Confidential Details Previous Next The following information will not appear on your Directory Page and is strictly private & confidential. Funding sources * If more than one, please separate with a comma. Most recent annual income * Please enter a numeric value, even if it's zero. Your most recent financial year-end * Most financial years end on the 31st of March. Number of paid staff * Please enter a numeric value, even if it's zero. Number of paid staff as full time equivalent (FTE) * Please enter a numeric value, even if it's zero. Number of volunteers * We understand that this may be an estimate, but please enter a numeric value, even if it's zero. Number of volunteer hours per month * We understand that this may be an estimate, but please enter a numeric value, even if it's zero. How many people benefit from or use your services each month? * We understand that this may be an estimate, but please enter a numeric value, even if it's zero. Membership Details and Declaration Previous Next Which Membership package are you applying for? * Full Associate Corporate Please visit the 'Join Us' page of our website to find out which Membership packages are available. Please note that Membership fees may be incurred depending on the annual income of your organisation and/or the Membership package selected. Full details of fees can be found on the 'Join Us' page of our website. Have you ever accessed any information, services or events from Consortium? * Within the last year 1-2 years ago More than 2 years ago Never How did you hear about us? * Consortium Newsletter Facebook Instagram Internet search Recommendation Twitter Website Other By providing my digital signature below, I confirm that I have the authority to submit this application on behalf of the organisation and that I agree with the Membership Values and Principles of Consortium.I confirm that all the information within the application is true to the best of my knowledge.I understand that, if the application is accepted, it may result in an invoice being generated for Membership fees (if applicable).I agree to Consortium collecting and recording the personal details outlined above, in line with the Terms and Conditions. Digital signature * Please type your full name to digitally sign your application.
