< Back to Dashboard Membership Application Contact Details Previous Next The following information will not appear on your Directory Page and is strictly private & confidential. 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 position within your organisation * Contact's phone number * Contact's email address * Organisation/Group Details Previous Next Organisation/Group name * Please give the full name of your organisation or group Acronym/abbreviation Is your organisation known by any other name? Your address will not appear on your Directory Page and is strictly private & confidential. Location name e.g. a place of business, venue, meeting point Address line 1 * Address line 2 Town/City * County (or Borough if based in London) * Postcode * Country * e.g. England, Northern Ireland, Scotland or Wales if based in the UK Public phone number Public email address * Website address Please include your full website address, starting with http... (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? * Informal Group (for groups without a governing document) Unincorporated Association (for groups that have a constitution) Social Enterprise Registered Charitable Company Charitable Incorporated Organisation (CIO) Community Interest Company (CIC) Public Body Private Sector Other Are you a registered charity? * Yes No Please provide your charity number (if applicable) 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 visitors about your organisation and the work it does. 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 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? * Bisexual Men Bisexual Women BME/Black People Gay Men Lesbians/Gay Women LGBT+ People Men Non-UK Residents Other People of Faith People over 50 People with disabilities Trans People/People with gender histories Women Young People Are Trans People/People with gender histories the main focus of your organisations work? * Yes No 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 of operation (if applicable) 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. Income per annum * Your most recent financial year-end (if applicable) Number of paid staff Number of paid staff as full time equivalent (FTE) Number of volunteers Number of volunteer hours per month How many people benefit from or use your services each month? * Membership Details Previous Next Which Membership package are you applying for? * Full Associate Start-Up/Small Enterprise Corporate International/Overseas 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 Save Draft
