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 note that from Jan - March 2023 there will be a delay on the processing of all new membership applications, as membership renewal meetings are taking place
Eligibility - the following section must be complete
Membership is currently only available for organisations CURRENTLY delivering services to children and young people within the borough of Ealing. If you are not currently delivering services, do NOT complete this membership application, it will be rejected.
We are CURRENTLY delivering services in Ealing - proceed
Please make sure you have the following documents as these are an essential requirement for Membership: 1. Safeguarding Policy 2. Health and Safety Policy 3. Public Liability Insurance Certificate 4. Example of a Risk Assessment
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I confirm I have all of these documents
Please kindly upload the above FOUR documents
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Can you confirm your organisation has a constitution, governing document or social purpose statement (note: this is required for membership and we may ask for proof of this)
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Yes we do
No, we do not (please get in touch with us as this is required for membership)
Can you confirm your Designated Safeguarding Lead has the required level of training (Level 3) OR that you commit to providing L3 training for your DSL within the next three months? (Note: one of these are required for membership)
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Yes, our Designated Safeguarding Lead has appropriate training for their role
Yes, we commit to providing our DSL training over the next 3 months
If you chose the first option, please upload proof/certificate of your Designated Safeguarding Lead's training
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Organisation Name
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Primary Contact Full Name
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First Name
Last Name
Job Title
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Email
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example@example.com
Phone Number
Phone number
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Do you want to be added to our Whatsapp Group
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Yes
No
Secondary Contact Full Name
First Name
Last Name
Secondary Contact Job Title
Secondary Contact Email
example@example.com
Secondary Contact Phone Number
Address (this should be the HQ address/your head office)
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
LinkedIn
Instagram
Facebook
Website
Require information in accessible format?
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Yes
No
Which format?
Legal Status
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Please Select
CIC
Limited Company
Local Authority
Registered Charity/ CIO
Unincorporated association
Charitable trust
Company limited by guarantee
Charitable Community Benefit Society
Voluntary Organisation
School
Club/Academy
Non Profit Club
Charity Number / Company Number
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Do you have 2 unrelated signatories on your bank account
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Yes
No
If you have ticked no, why not (signatories)
Do you have a constitution
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Yes
No
If you have ticked no, why not (constitution)
Does your organisation have a management committee of some kind? (e.g board of trustee etc)
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Yes
No
Can you provide a contact for your management committee?
First Name
Last Name
Contact Email
example@example.com
Is your organisation's management led by
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Female led
Disability led
LGBT+ led
Non-white led
None
How do young people have a voice in your organisation
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Number of Paid Full-Time Staff
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Number of Paid Part-Time Staff
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Are your part time staff contracted workers or session workers?
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Number of Volunteers
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Do all staff have up to date DBS checks?
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How many young people in Ealing did you work with in the previous financial year?
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Annual income (based on the previous years audited accounts)
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What is your main source of income?
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Please tick all your funders in previous financial year:
A2 Dominion
Arts Council
Bailey Thomas Charitable Trust
BBC Children In Need
Berkeley Foundation
City Bridge Trust
Clarion
Comic Relief
Ealing Council
Esmee Fairbairn
Freshwater Foundation
Garfield Weston
GLA
Heathrow Community Trust
Henry Smith Charity
John Lyon's Charity
London Community Foundation
London Youth
MOPAC/VRU
National Lottery Community Fund
Pathways Housing Association
Paul Hamlyn Foundation
Peabody
Sport England
Trust for London
Young Ealing Foundation
Young Londoners Fund
Other
As you have previously confirmed that you are working with young people in the borough of Ealing, please tick which of the 7 towns you are CURRENTLY delivering in?
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Acton (W3)
Ealing (W5, W13)
Greenford (UB6)
Hanwell (W7)
Northolt (UB5)
Perivale (UB6)
Southall (UB2, UB3)
Do you deliver in any schools in particular within the above areas? If yes, please share which
Describe/summarise the main activities of your organisation - what does your organisation do? Please specify which activities are in which of the above 7 towns
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Organisation's Aims
Organisation's Objectives
Main activities
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Accessible space
Creative writing and literature
Cultural education
Early Years Provision
Employability
Gardening / Nature activities
Healthy eating, nutrition and cooking
Holiday programmes
Homework support
IT and digital
Languages
Life skills
Mental Health and Wellbeing
Mentoring
Music
Open Access Youth Provision
Parenting
Performing Arts
Personal Development
Photography and Film
Play club
Schools workshops
Sexual Health
Social Action Projects
Sports and Physical Activity
Supplementary Schools
Visual Arts
Volunteering
Youth board / Youth leadership training
What themes does your organisation work on
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Mental health and well-being
Physical health and well-being
Education
Youth employment
Family support
Tackling violence affecting young people
Social Action
Other
Please tick which activities your organisation provide
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Music
Performing Arts
Sports
Homework Clubs/tutoring
Supplementary School
Cultural Activities
Open Access Youth Provision
Cooking and Food Tech
Visual Arts
Employment Support
Mentoring
Outdoor Activities
Other
To whom do you deliver services
25 years +
Affected by / victims of abusive behaviour
Affected by poor mental health
Affected by poor physical health
BAME
Boys and young men
Children 5-10
Children 11-13
Young people 14-25
Children and young people living with a long term health condition
Children and young people with disabilities
Ethnicity
Faith
Girls and Young Women
Homeless
LGBT+
Nationality
Refugee / Asylum seekers
Traveller Community
Young Carers
Young Offenders
Affected by / involved in crime anti-social behaviour and violence
Looked after children
Non-white
Who are your targeted service users
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0 - 5 years old
5 - 8 years old
8 - 11 years old
11 - 13 years old
13 - 16 years old
16 - 19 years old
19 - 25 years old
Children from minoritised communities
SEND
Children and young people with disabilities
Young offenders Boys and young men
Young people at high risk of crime
LGBT+
Refugee / Asylum seekers
Young Carers
NEET
Care experienced young people
Please share a recent safeguarding issue your organisation experienced and the way in which your organisation responded to this concern
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What area of your organisation would you like to develop?
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What support would be useful to achieve this?
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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
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0/32768
How did you find out about YEF membership?
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