Member Profile Registration Form

Professional Profile
Current or Most Recent Job Title *
Professional Qualifications *
Professional skills and thematic knowledge you would bring to Collective projects.
Skillset *
Please type any degrees or professional accreditations you currently hold
Short Biography *

(150 words or less) – please note this will be used for client proposals 0/150
Preferred Rates *
Would you be interested in hosting events? *

Yes No
How many people can you host in your space?
Venue Capacity

Insurance Confirmation Form

As freelancers, consultants, solopreneurs and business owners, we should all hold adequate insurance cover to protect ourselves should any errors occur.

As a member of the London Collective, you are expected to hold professional indemnity insurance and public liability insurance coverage for a minimum of £1,000,000 per claim. You will be able to supply a copy of the policy to the London Collective on request.

These policies must be in place before you are accepted into the Collective.

Please consult an insurance broker who will be able to guide you as to which policy is best for your needs. You are responsible for ensuring all insurance policies are paid for and kept up to date whilst a member of the London Collective.
Member Name *
Please edit if the name on your insurance policy differs slightly from the one provided earlier.
Insurers Name *
Policy Number *
Country/ies Insured In *
E.g. UK, UK & IE etc
Effective Date

Day Month Year
This is the date the insurance commences
Insurance Expiry Date *

Day Month Year
This is the date the insurance expires (or automatically renews)
Professional Indemnity *
Confirm that you hold a minimum of £1,000,000 (or the equivalent in your local currency) per claim
Public Liability *
A minimum of £1,000,000 (or the equivalent in your local currency) per claim

Your Agreement

I certify that the information in this document and any attached documents is true and correct and that at any time I may be asked and shall be required to provide proof of insurance in the form of a valid insurance certificate. This Member Agreement commences at the date below.
Signed *

Clear
Signature Date

Day Month Year
Should be Empty: