YEF Membership Form

YEF New Membership Form

We will be in touch with more information on the next stage of membership upon your completion of this form
Please make sure you have the following documents as these are an essential requirement for Membership : - Safeguarding Policy - Health and Safety Policy - Public Liability Insurance Certificate - Example of a Risk Assessment*

I confirm I have all of these documents
Please kindly upload the above FOUR documents *

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Organisation Name*
Primary Contact Full Name*

First NameLast Name
Job Title*
Email*
example@example.com
Phone Number*
Phone number*
Do you want to be added to our Whatsapp Group*

YesNo
Secondary Contact Full Name

First NameLast Name
Secondary Contact Job Title
Secondary Contact Email
example@example.com
Secondary Contact Phone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Twitter
Instagram
Facebook
Website
Require information in accessible format?*

YesNo
Which format?
Legal Status*
Charity Number / Company Number*
Do you have two unrelated signatories on your bank account?*
Do you have a constitution*

YesNo
Does your organisation have a Chair

YesNo
Chair Name

First NameLast Name
Chair Email
example@example.com
Is your organisation's management led by*

Female ledDisability ledLGBT+ ledNon-white ledNone
Does your organisation have a Youth Board*

YesNo
Number of Paid Full-Time Staff*
Number of Paid Part-Time Staff*
Number of Volunteers*
Do all staff have up to date DBS checks?*
How many young people in Ealing did you work with in the previous financial year?*
Annual income (based on the previous years audited accounts)*
What is your main source of income? If external funding, who?
Organisation based in Ealing?*

YesNo
Which areas do they deliver in?*

Acton (W3)Ealing (W5, W13)Greenford (UB6)Hanwell (W7)Northolt (UB5)Perivale (UB6)Southall (UB2, UB3)
Organisation's Aims*
Organisation's Objectives*
What type of supervision do you currently receive?*
Main activities*

Accessible spaceCreative writing and literatureCultural educationEarly Years ProvisionEmployabilityGardening / Nature activitiesHealthy eating, nutrition and cookingHoliday programmesHomework supportIT and digitalLanguagesLife skillsMental Health and WellbeingMentoringMusicOpen Access Youth ProvisionParentingPerforming ArtsPersonal DevelopmentPhotography and FilmPlay clubSchools workshopsSexual HealthSocial Action ProjectsSports and Physical ActivitySupplementary SchoolsVisual ArtsVolunteeringYouth board / Youth leadership trainingOther
To whom do you deliver services*

25 years +Affected by / victims of abusive behaviourAffected by poor mental healthAffected by poor physical healthBAMEBoys and young menChildren 5-10Children 11-13Young people 14-25Children and young people living with a long term health conditionChildren and young people with disabilitiesEthnicityFaithGirls and Young WomenHomelessLGBT+NationalityRefugee / Asylum seekersTraveller CommunityYoung CarersYoung OffendersAffected by / involved in crime anti-social behaviour and violenceLooked after childrenNon-white
What area of your organisation would you like to develop?*
What support would be useful to achieve this?*
Do you have a venue which you could potentially hire out or share space in? If 'Yes' please provide the name, address and brief description of facilities
Should be Empty:

YEF New Membership Form