Membership Application Form

Your full name *

Your job title *

Your email address *

How did you find out about our membership programme? *

Gloucestershire VCSE Alliance Website

Gloucestershire VCSE Alliance News Bulletin

Gloucestershire VCSE Alliance Funding Bulletin

Gloucestershire VCSE Alliance Learning, Events and Resources Newsletter (LEaRN)

Gloucestershire VCSE Alliance Social Media

Gloucestershire VCSE Alliance Event/Training

In Partnership Newsletter

Recommendation (from colleague, other organisation, etc.)

Other (please specify)

Organisation name and any acronyms you use: *

Your organisation's main telephone number *

This is the publicly available telephone number that people can use to contact your organisation.

Your organisation's website address (if applicable)

Your organisation's social media account names and platform (if applicable)

Please list the platform first followed by your account name. For example: Facebook @GlosVCSAlliance

Your organisation type: *

County council

Local authority

NHS

Police

Town & Parish Council

Other

If 'other' please specify your organisation type below:

Brief description of your organisation's aims and who your work with *

Please give a short description and be clear about what you do. Three to four sentences is ideal.

Which district in Gloucestershire does your organisation deliver services in? *

Cheltenham

Cotswolds

Forest of Dean

Gloucester

Tewkesbury

Stroud

County wide

If you also deliver services outside of Gloucestershire, please let us know where:

Online Member Directory Consent *

I would like to include my organisation (opt-in)

I would not like to include my organisation (opt-out)

Please upload your logo if you have consented to including your information in our Member Directory.

Drag and drop files here or Browse

Which of our regular mailings would you like to subscribe to?

Member-only newsletter (quarterly)

News Bulletin (weekly)

Funding Bulletin (monthly)

In Partnership newsletter (quarterly)

Inclusivity Matters newsletter (quarterly)

We occasionally run forums or send mailings of particular interest to a district within Gloucestershire. If you would like to receive these, please select the district/s below:

Cheltenham

Cotswold

Forest of Dean

Gloucester

Tewkesbury

Stroud

How did you find out about Gloucestershire VCSE Alliance?

I understand that as a member I will receive the requested communications to the e-mail account provided in section 1 on this form. *

Other relevant correspondence may also be sent (such as important membership information, etc.) to this email address. I am aware that I can unsubscribe from mailings at any time by emailing This email address is being protected from spambots. You need JavaScript enabled to view it..

Yes

I confirm that my organisation is a VCSE sector group/organisation delivering services in Gloucestershire. I also confirm that the information contained in this form is accurate and complete *

Yes

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