Full Membership Application Form About your organisation:Why are we asking for this information? Recording this information helps shape our services to ensure we meet the needs of the local voluntary, community and social enterprise (VCSE) sector. It also helps us with our reporting, and enables us to tailor the support we provide to your organisation. Organisation name:*Please provide an overview of your organisation's activities:*Organisational structure:*Community Group/OrganisationCharitySocial EnterpriseCommunity Interest Company (CIC)OtherIf your organisation is a charity, please provide your registered charity number below:Organisation revenue:* Mirco (income under £10,000) Small (£10k - £100k income) Medium (£100k - £1m income) Large (£1m - £10m income) Major (£10m - £100m income) Supermajor (more than £100m) Why are we asking for this information? York CVS works with key partners across the city of York, North Yorkshire, Humber, Coast and Vale, and nationally. Recording this information helps us to provide an overview of the VCSE demographic in York. Which areas do you work in? All of York Acomb Bishopthorpe & Wheldrake Clifton Derwent, Heworth Without & Osbaldwick Dringhouses & Woodthorpe Fishergate Guildhall Haxby & Wigginton Heslington & Fulford Heworth Holgate Hull Road Huntington & New Earswick Micklegate Outside Of York Rural West York Skelton, Rawcliffe & Clifton Without Strensall Westfield Other Other (please specify):Who does your organisation work with? Please select up to four groups using the boxes below.*Select...Black and ethnic minorityCarersChildrenDisabledEmployedEmployee VolunteersFaith CommunitiesFamiliesHomelessLearning DifficultiesLGBTLone ParentsLong Term conditionsLow incomeMembersMenMental IllnessOffenders/ex offendersOlder peopleOtherRefugees and Asylum seekersResidents (not tenancy related)Social entrepeneursSubstance MisuseTenants (housing related)TravellersUnemployedUnknownVictims of abuse/domestic violenceVictims of crimeVolunteersWomenYoung People2.Select...Black and ethnic minorityCarersChildrenDisabledEmployedEmployee VolunteersFaith CommunitiesFamiliesHomelessLearning DifficultiesLGBTLone ParentsLong Term conditionsLow incomeMembersMenMental IllnessOffenders/ex offendersOlder peopleOtherRefugees and Asylum seekersResidents (not tenancy related)Social entrepeneursSubstance MisuseTenants (housing related)TravellersUnemployedUnknownVictims of abuse/domestic violenceVictims of crimeVolunteersWomenYoung People3.Select...Black and ethnic minorityCarersChildrenDisabledEmployedEmployee VolunteersFaith CommunitiesFamiliesHomelessLearning DifficultiesLGBTLone ParentsLong Term conditionsLow incomeMembersMenMental IllnessOffenders/ex offendersOlder peopleOtherRefugees and Asylum seekersResidents (not tenancy related)Social entrepeneursSubstance MisuseTenants (housing related)TravellersUnemployedUnknownVictims of abuse/domestic violenceVictims of crimeVolunteersWomenYoung People4.Select...Black and ethnic minorityCarersChildrenDisabledEmployedEmployee VolunteersFaith CommunitiesFamiliesHomelessLearning DifficultiesLGBTLone ParentsLong Term conditionsLow incomeMembersMenMental IllnessOffenders/ex offendersOlder peopleOtherRefugees and Asylum seekersResidents (not tenancy related)Social entrepeneursSubstance MisuseTenants (housing related)TravellersUnemployedUnknownVictims of abuse/domestic violenceVictims of crimeVolunteersWomenYoung PeopleWhat types of services and activities do you provide? Please select up to four below.*Select...Advice (General)Advocacy (General)Animal WelfareArts/Media/MusicBefriendingCarersChildcare - Early Years (Preschool/Playgroup)Childcare - Out Of School ClubsChildren - OtherChildren - Uniform GroupsChildren - Youth ServicesCommunity Centres Or FacilitiesCommunity Development ServicesCounselling - Abuse/Domestic ViolenceCounselling - GeneralCrime - Community SafetyCrime - Victim SupportCultural Or Ethnicity Related ServicesEducation And TrainingEmploymentEnvironmental - Food Or FarmingEnvironmental - GeneralEnvironmental - Nature ConservationFaith Or ChurchFamily And RelationshipsFunding And Grant GivingHealth - DisabilityHealth - GeneralHealth - HospicesHealth - Learning DifficultyHealth - Long Term ConditionsHealth - Mental HealthHealth - Sexual HealthHealth - Substance MisuseHeritage/History/CivicHomelessnessHousing & Tenant GroupsInternational AidMediation (General)Men's IssuesMentoring Or Personal DevelopmentOlder People - Day CareOlder People - GeneralOlder People - Lunch ClubsOlder People - Social ActivitiesOtherPeace And ReconciliationPoverty Or Financial ServicesRegeneration (Urban)Residents & Neighbourhood GroupsSport & LeisureTransport - CommunityTransport - SustainableVCSE SupportVolunteeringWomen's Issues2.Select...Advice (General)Advocacy (General)Animal WelfareArts/Media/MusicBefriendingCarersChildcare - Early Years (Preschool/Playgroup)Childcare - Out Of School ClubsChildren - OtherChildren - Uniform GroupsChildren - Youth ServicesCommunity Centres Or FacilitiesCommunity Development ServicesCounselling - Abuse/Domestic ViolenceCounselling - GeneralCrime - Community SafetyCrime - Victim SupportCultural Or Ethnicity Related ServicesEducation And TrainingEmploymentEnvironmental - Food Or FarmingEnvironmental - GeneralEnvironmental - Nature ConservationFaith Or ChurchFamily And RelationshipsFunding And Grant GivingHealth - DisabilityHealth - GeneralHealth - HospicesHealth - Learning DifficultyHealth - Long Term ConditionsHealth - Mental HealthHealth - Sexual HealthHealth - Substance MisuseHeritage/History/CivicHomelessnessHousing & Tenant GroupsInternational AidMediation (General)Men's IssuesMentoring Or Personal DevelopmentOlder People - Day CareOlder People - GeneralOlder People - Lunch ClubsOlder People - Social ActivitiesOtherPeace And ReconciliationPoverty Or Financial ServicesRegeneration (Urban)Residents & Neighbourhood GroupsSport & LeisureTransport - CommunityTransport - SustainableVCSE SupportVolunteeringWomen's Issues3.Select...Advice (General)Advocacy (General)Animal WelfareArts/Media/MusicBefriendingCarersChildcare - Early Years (Preschool/Playgroup)Childcare - Out Of School ClubsChildren - OtherChildren - Uniform GroupsChildren - Youth ServicesCommunity Centres Or FacilitiesCommunity Development ServicesCounselling - Abuse/Domestic ViolenceCounselling - GeneralCrime - Community SafetyCrime - Victim SupportCultural Or Ethnicity Related ServicesEducation And TrainingEmploymentEnvironmental - Food Or FarmingEnvironmental - GeneralEnvironmental - Nature ConservationFaith Or ChurchFamily And RelationshipsFunding And Grant GivingHealth - DisabilityHealth - GeneralHealth - HospicesHealth - Learning DifficultyHealth - Long Term ConditionsHealth - Mental HealthHealth - Sexual HealthHealth - Substance MisuseHeritage/History/CivicHomelessnessHousing & Tenant GroupsInternational AidMediation (General)Men's IssuesMentoring Or Personal DevelopmentOlder People - Day CareOlder People - GeneralOlder People - Lunch ClubsOlder People - Social ActivitiesOtherPeace And ReconciliationPoverty Or Financial ServicesRegeneration (Urban)Residents & Neighbourhood GroupsSport & LeisureTransport - CommunityTransport - SustainableVCSE SupportVolunteeringWomen's Issues4.Select...Advice (General)Advocacy (General)Animal WelfareArts/Media/MusicBefriendingCarersChildcare - Early Years (Preschool/Playgroup)Childcare - Out Of School ClubsChildren - OtherChildren - Uniform GroupsChildren - Youth ServicesCommunity Centres Or FacilitiesCommunity Development ServicesCounselling - Abuse/Domestic ViolenceCounselling - GeneralCrime - Community SafetyCrime - Victim SupportCultural Or Ethnicity Related ServicesEducation And TrainingEmploymentEnvironmental - Food Or FarmingEnvironmental - GeneralEnvironmental - Nature ConservationFaith Or ChurchFamily And RelationshipsFunding And Grant GivingHealth - DisabilityHealth - GeneralHealth - HospicesHealth - Learning DifficultyHealth - Long Term ConditionsHealth - Mental HealthHealth - Sexual HealthHealth - Substance MisuseHeritage/History/CivicHomelessnessHousing & Tenant GroupsInternational AidMediation (General)Men's IssuesMentoring Or Personal DevelopmentOlder People - Day CareOlder People - GeneralOlder People - Lunch ClubsOlder People - Social ActivitiesOtherPeace And ReconciliationPoverty Or Financial ServicesRegeneration (Urban)Residents & Neighbourhood GroupsSport & LeisureTransport - CommunityTransport - SustainableVCSE SupportVolunteeringWomen's IssuesHow many paid staff does your organisation have?*How many volunteers does your organisation have?*Contact detailsName of main contact*Email address of main contact:*Would you like to sign-up to our email communications?* Yes please No thanks We share updates, resources and information with our members via a regular Members' Update email. By clicking 'Yes please' you are agreeing to be added to our Members mailing list. You can unsubscribe from our email updates at any time. Name of Chair of Trustees / Director:*Email address for Chair of Trustees / Director:*Would you like to sign-up to our email communications?* Yes please No thanks Additional contacts - please add any additional email / telephone contacts below:Please make sure you have permission to share these email addresses with York CVS. Email Communications:* Please sign me up No thanks No additional contacts added Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone number:Website: Facebook:Twitter:LinkedIn:How can York CVS support your organisation?What training and events would you like York CVS to offer? Governance - Trustee Training Applying for Funding Social Media Marketing and Communications Policies and Procedures Managing Volunteers Other (please specify in box below) Other (please specify):What support would your organisation benefit from?How could we improve our services?Data Protection:By submitting this form, you agree to share your contact information with York CVS. We care about your data that's why we only use your data with your permission and we never share your data with third parties unless you tell us we can. If at any time you wish to remove your data from our database, please let us know and we will delete this from our records. Please read our full privacy statement at the bottom of each webpage. Data Protection* Agree