EVOC Membership Form

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How are you paying for membership (if applicable)*
- Free Membership - No Payment Required
- Cheque
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Contact Person
Name of Contact Person*
First Last
Job Title*
Phone Number*
Email*
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Organisation Details
Organisation Name*
Address 1*
Address 2
Address 3
Address 4
Town/City*
Post Code*
Telephone
Website
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Charity Number (If Applicable)
Information about the Organisation
Please select the legal status of your charity
- Unincorporated Association
- Company
- SCIO
- Trust
- Industrial and Provident Society
- Community Interest Group
- Statutory Corporation
- Educational Endowment
Please select the category or categories which best fit according to the Charity and Trustees (Scotland) Act 2005 section 7(2)
- The prevention or relief of poverty
- The advancement of education
- The advancement of religion
- The advancement of health
- The saving of lives
- Equality, Advocacy & Advice
- The advancement of citizenship or community development
- The advancement of the arts, heritage, culture or science
- The advancement of public participation in sport
- The provision of recreational facilities, or the organisation of recreational activities, with the object of improving the conditions of life for the persons for whom the facilities or activities are primarily intended
- The advancement of human rights, conflict resolution or reconciliation
- The promotion of religious or racial harmony
- The promotion of equality and diversity
- The advancement of environmental protection or improvement
- The relief of those in need by reason of age, ill-health, disability, financial hardship or other disadvantage
- The advancement of animal welfare
- Any other purpose that may reasonably be regarded as analogous to any of the preceding purposes
What are your organisations aims and objectives?
Please tick the activities of your organisation. Please select all that apply
- Advice/Information
- Addictions
- Advocacy
- Animal Welfare
- Arts and Culture
- Befriending/Monitoring
- Black/Minority/Ethnic
- Campaigning/Lobbying
- Carers
- Charity Shop
- Children Services
- Community Council
- Community Development
- Community Facilities
- Community Forum
- Community Safety
- Community Transport
- Counselling
- Credit Unions/Community Banking
- Drug/Alcohol Issues
- Education/Learning/Training
- Employment
- Environment/Recycling
- Equality
- Faith/Religion/Belief
- Family Support
- Fundraising/Funding
- Health
- Help Lines
- Housing Association
- Housing/Homelessness
- Law and Justice
- Learning Disability
- Men
- Offenders/Ex-offenders
- Overseas Aid/Developing World
- Physical Disability
- Poverty
- Refugees/Asylum Seekers
- Self Help/Support
- Sensory Impairment
- Sexuality
- Single Parent
- Social Care
- Social Economy/Social Enterprise
- Sport/Leisure/Recreation
- Volunteering
- Women
- Young People
Please tell us about the client groups you work with
Adults
- Physical Disabilities
- Mental Disabilities
- Learning Disabilities
- Mental Health
- Other Disabilities
- Homelessness
- Addiction
Young People
- Pregnancy/Pre-School
- Children at Primary School
- Secondary School
- Young people 16-25
Older People
- Older
- Other Groups
Children & Adults bearing 'Protected Characteristics'
- Age
- Disability
- Gender Reassignment
- Marriage or Civil Partnership
- Pregnancy and Maternity
- Race
- Religion or Belief
- Sex and Sexual Orientation
Does your organisation work with children or families in different areas of the city, by doing "outreach work" in different locations within Edinburgh?
Geographical Reach
Please select a UK district
- International
- UK Wide
- Scotland Wide
- More than one local authority
- Local Authority
- Local Area District
Please select the localities you provide services in Edinburgh (please select all that apply)
- North West
- North East
- South East
- South West
- City Wide
More information can be found at http://www.evoc.org.uk/information/localities/
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525 Ferry Road
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T: 0131 555 9100
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E: info@evoc.org.uk

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