Petersfield CLT Membership Application

Petersfield CLT Membership Application
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This privacy notice for contacts sets out your rights in relation to data protection and describes how, in accordance with data protection law, we collect and use personal data.

Data is collected and managed on behalf of Petersfield CLT by Bau Elements, our project management and communications partner.

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If you sign up for a newsletter, please note that we use MailChimp (operated by Rochet Science Group) to help us administer our email newsletter and updates.
Data Privacy Acceptance*

I accept the above data privacy policy.
Membership Notes

1. Persons under 16 may not be members.

2. Members need to satisfy the ‘local connection’ qualifying criteria as set out in Policy HP7 of the Petersfield Neighbourhood Plan 2013. The below application questions will test this for you.

3. Members each have one vote at general meetings regardless of how many shares they hold.

4. Shares will never be worth more than I pay for them, and could even reduce in value and there will be no dividend payable to shareholders.

5. By acquiring £10 of shares, I am signing up to the governing documents of the CLT and any Standing Orders in force.

6. This is not a savings scheme and I may not get any or all of my money back should I ever ask for this in the future.

7. If I wish to leave the CLT, I must apply in writing to the Secretary at the Registered
Office when the Board will decide if my share money can be returned. The CLT does
not guarantee it will have sufficient funds to do so.

8. The shares are not backed by any compensation scheme or ombudsman.

9. I must provide the CLT with a copy of some form of photographic ID in order to verify my identity once my application has been accepted.

10. This application will be considered by the elected Board of
Directors and may not be accepted.
Membership Notes Acceptance*

I accept the above membership notes.
1. Residency Connection

Qualifying parishes are: Colemore and Priors Dean, Hawkley, Greatham, Liss, Rogate, Harting, Buriton, Stroud, Langrish, East Meon, Steep, Froxfield and Sheet as per policy HP7 of the Petersfield Neighbourhood Development Plan.
1.1 Have you been resident in Petersfield or a qualifying parish for 12 months continuously until today?*

YesNo
1.2 Have you lived in Petersfield or a qualifying parish for 3 out of the previous 5 years until today?*

YesNo
1.3 Do you have close family who have been resident for 5 continuous years until today and continue to be resident in Petersfield or a qualifying parish?*

YesNo
2. Employment Connection
2.1 Are you currently based at an office or business establishment in Petersfield or a qualifying parish?*

YesNo
2.2 Is the office or business establishment from where your current work is managed based in Petersfield or a qualifying parish?*

YesNo
2.3 Are you either on a permanent contract, fixed term contract or are you self employed?*

YesNo
2.4 Have you been employed for a minimum of 12 continuous months until today and are you still employed?*

YesNo
2.5 Do you work a minimum of 16 hours per week, averaged accross a working year?*

YesNo
3. Contact Details
Name*

First NameLast Name
Email*
example@example.com
Please confirm acceptance of the Reservoir Lane Newsletter subscription by email:*

Yes, please sign me up for the Reservoir Lane NewsletterI'm already signed up the the Reservoir Lane NewsletterNo thanks, don't sign me up for the Reservoir Lane Newsletter
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
4. Application Type
Which type of membership are you applying for:*

Resident - Anyone interested in a home/plot with PCLTCommunity - Anyone who wishes to support PCLT's aims locallyStakeholder - Anyone wishing to make a particular contribution or to represent a particular stakeholder organisation
Would you be prepared to volunteer your time to help the PCLT achieve its aims locally?*

YesNoMaybe/Not sure yet
Would you consider becoming a PCLT Board Member?*

YesNoMaybe/Not sure yet
Which area of PCLT's work are you interested in?
New Member Process
1. Once your application has been reviewed you will be asked to send in photographic ID.
2. Once the ID has been received and the Board Members have approved your application, you will be sent a paypal link to pay the £10 to finish the process.
3. Share certificates will then be produced and sent to you via email.
4. You will also receive an email if your application is turned down, e.g. because you haven't met the local connection criteria.
5. Payments via transaction methods other than Paypal can be accepted on request. All communications will be by email unless otherwise required.
Should be Empty:

Petersfield CLT Membership Application

1. Residency Connection

2. Employment Connection

3. Contact Details

4. Application Type