Apply for Membership

Your Organisation

Name of organisation

Brief description of organisation

Legal Status

Legal Status Reference Number

For example your Charity Reference Number

What are your areas of interest?

Black and Minority Ethnic Children and families Drug / Alcohol dependency Elderly Environment Health Other

Do you provide any of the following?

Access to facilities Accommodation Advocacy and representation Consultancy Crime/community safety Education and training Environmental Campaigning

Does you organisation belong to any of the following Networks or Forums?

A4A @ CAB Community Anchors Network Equalities Network Independent Providers Group Older Persons Vol Orgs Forum Plymfed Social Enterprise Network VSC Children and Young People

Quality Standards

Investor in People Matrix None Other PQASSO L1/ 2 /3 Star Social Firm

Please tell us which areas of Plymouth you are active in?

Citywide Budshead Compton Devonport Drake Efford and Lipson Eggbuckland Ham Honicknowle Moor View Peverell Plympton Chaddlewood Plympton Erle Plympton St Mary Plymstock Dunstone Plymstock Radford Southway St Budeaux St Peter and the Waterfront Stoke Sutton and Mount Gould

Website Address

Email Address

Phone Number

Fax Number

Address

Town/City

Postcode

Tick box if you would like your organisation to be listed in our directory

Your Information

Username

First Name

Last Name

Email Address

Phone Number

Fax Number

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