Application Form Please complete this form Organisation and contact details Organisation NameBuilding name/numberStreetCityCountyPostcodeWebsiteEmailContact SurnameContact First NamePhoneTwitter AddressFacebook Address About Your Organisation My organisation provides services in: Cambridge CityFenlandHuntingdonshireSouth CambridgeshireEast CambridgeshireCounty wide Please write a few words about your organisation and what it does. We will include this in the directory if you want to be included otherwise it will only be used by us. (No more than 50 words please.) About Organisation Type of organisation (please tick all that apply) We are just starting up and have not decided yetA Voluntary or Community Group led by a volunteer (unpaid) boardA registered CharityCharity NumberA Community Interest CompanyCIC registration NumberA Company Limited by GuaranteeA Company with SharesCompany NumberA Parish or Town CouncilOtherPlease describe Income for the last full year £50,000 and under£50,001 and over About your trustees or directors Please indicate the number of trustees or directorsWe only pay directors or trustees the expenses they occurOur trustees and directors are paid to carry out their role Directory of Voluntary and Community Organisations Details of full CCVS members can be included in the Directory that is published on the websites of the three CVS organisations in Cambridgeshire. The entry includes the organisation’s name, address, email and telephone number and brief details of its activities. NoYes Areas of interest (Please tick all that apply) Children & Young PeopleCommunity ActionHealthOlder PeopleSafer Communities Donations I/We would like to include a donation of £ This amount will be added to your invoice We agree to our details being kept on CCVS computer records.We sign up to the CCVS equal opportunities policy We have included a copy of our constitution or governing documentConstitution Document
