CDHN Individual Membership Form

  • CDHN Individual Membership Form

  • This form is for people who want to join CDHN as individual members. You can apply through your job or volunteer role in any sector—private, public, community, voluntary or social enterprise or simply as someone who supports what we do. To be an individual member you must:

    • Live in Northern Ireland, Ireland, England, Scotland, Wales, the Isle of Man, or the Channel Islands.  If you live elsewhere, you can still join us as a Supporter 
    • Support CDHN Values, Mission and Vision

    As an individual member, you’ll have voting rights at the Annual General Meeting (AGM). If you’d prefer not to do that but still want to be involved, you can join as a Supporter instead. 

    Click here to read CDHN Values, Mission and Vision

  • Do you support CDHN Values, Vision and Mission?*

  • Only people that support CDHN Values, Vision and Mission can become individual members or supporters.  Click here to read 

  • Do you live in Northern Ireland, Ireland, England, Scotland, Wales, Isle of Man or the Channel Islands?*

  • To be an individual member, you must live in Northern Ireland, Ireland, England, Scotland, Wales, the Isle of Man, or the Channel Islands. If you live elsewhere, you can still join us as a Supporter, you can complete the supporter form here 

     

  • What best describes the job/volunteer role in which you are completing this form? (if you have more than one role, please complete as the one most connected to CDHN work)*

  • About you

    In this section, we would like to learn a bit more about where you live, so we can tailor our communications to better suit your needs.
    • About your organisation 

    • In this section, we’d like to know more about the organisation you work or volunteer with. Our members come from a wide range of backgrounds—small community groups, large charities, health and social care (including GPs, pharmacists, and social workers), education, and government. Understanding this helps us show our reach and tailor our communications to your needs.

      If you’d prefer not to share this information, please go back and select “My application is not connected to a job/volunteer role.”

  • What areas of CDHN’s work interest you the most?*

  • CDHN will store your data securely and you have the right to remove your data at any time. You can view CDHN’s Privacy Policy here.

  • Do you agree to CDHN storing your data and receiving formal communication and updates via email, phone and SMS?*

  • CDHN uses Mailchimp to send out our Member Ezine. To do this, we need your consent to transfer your information to MailChimp. You can learn more about MailChimp's privacy practices here.

  • Do you consent to receiving our Ezine via Mailchimp?*

  • To become a member, you must agree to CDHN’s Membership Terms and conditions You can view them here

  • Do you agree to the Membership Terms and Conditions?*
  •  
  • Should be Empty: