EVOC Membership Form Membership Type*Please select the appropriate membership type--Full Membership - Income Below £25,000 (Free)Full Membership - Income between £25,000 and £500,000 (£35 per year)Full Membership - Income over £500,000 (£55 per year)Associate MembershipHow are you paying for membership (if applicable)*Free Membership - No Payment RequiredChequeBACS PaymentDetails are provided on the confirmation page.Contact PersonName of Contact Person* First Last Job Title*Phone Number*Email* Enter Email Confirm Email Organisation DetailsOrganisation Name*Address 1*Address 2Address 3Address 4Town/City*Post Code*TelephoneWebsitePlease include http:// Charity Number (If Applicable)Information about the OrganisationPlease select the legal status of your charityUnincorporated AssociationCompanySCIOTrustIndustrial and Provident SocietyCommunity Interest GroupStatutory CorporationEducational EndowmentPlease 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 povertyThe advancement of educationThe advancement of religionThe advancement of healthThe saving of livesEquality, Advocacy & AdviceThe advancement of citizenship or community developmentThe advancement of the arts, heritage, culture or scienceThe advancement of public participation in sportThe 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 intendedThe advancement of human rights, conflict resolution or reconciliationThe promotion of religious or racial harmonyThe promotion of equality and diversityThe advancement of environmental protection or improvementThe relief of those in need by reason of age, ill-health, disability, financial hardship or other disadvantageThe advancement of animal welfareAny other purpose that may reasonably be regarded as analogous to any of the preceding purposesWhat 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 withAdults 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?--YesNoGeographical ReachPlease select a UK districtInternationalUK WideScotland WideMore than one local authorityLocal AuthorityLocal Area DistrictPlease 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/Please complete the following math question to help combat spamCommentsThis field is for validation purposes and should be left unchanged.