Become a Member

"> Do you have the authority to complete this form? *

Do you have the authority to complete this form? * (Please provide a value for Do you have the authority to complete this form?)

Yes, I confirm that I have the authority to complete this form

"> Name *

"> Job role *

"> Organisation name *

"> Address *

"> Postcode *

"> Phone number *

"> Email *

"> Website address

"> What type of organisation are you?

"> If other, please specify

"> Please enter your charity/company/other relevant registration number

"> Who does your organisation support? *

Who does your organisation support? * (Please provide a value for Who does your organisation support?)

Children and young people under 16

Homeless young people aged 16-25

Young people aged 16-25

Homeless adults

Other

"> If other, please specify

"> WHAT TYPE OF SERVICE DOES YOUR ORGANISATION OFFER ? *

"> If other, please specify

"> PLEASE GIVE AN IDEA OF THE NUMBER OF YOUNG PEOPLE YOU SUPPORT ANNUALLY *

"> Does your organisation have public liability insurance and a safeguarding policy?

Does your organisation have public liability insurance and a safeguarding policy?

Yes, I confirm my organisation has public liability insurance

Yes, I confirm my organisation has a safeguarding policy

"> In which area does your organisation operate? *

"> Which Centrepoint Partnering package are you interested in joining? *

Which Centrepoint Partnering package are you interested in joining? * (Please provide a value for Which Centrepoint Partnering package are you interested in joining?)

Community (free)
Network (by clicking this box an invoice for £275 will be generated)

"> If you are subscribing to a chargeable service, please list your address and email if different from above

"> WHAT ARE THE MAIN OFFERS OF THE MEMBERSHIP YOU’RE INTERESTED IN?

WHAT ARE THE MAIN OFFERS OF THE MEMBERSHIP YOU’RE INTERESTED IN?

Education, training or employment bursaries for young people

Legal advice for young people

Networking

Events

Training (e.g, facilitation skills)

Lifewise

Organisational reviews

I am not interested in any of the above at this time

Other

"> If other, please specify

"> Have you read and agreed to our terms and conditions? (Terms and conditions can be found at the top of this form.) *

Have you read and agreed to our terms and conditions? (Terms and conditions can be found at the top of this form.) * (Please provide a value for Have you read and agreed to our terms and conditions? (Terms and conditions can be found at the top of this form.))

Yes, I have read and agree to the terms and conditions

"> Where did you hear about Centrepoint Partnering? *

Where did you hear about Centrepoint Partnering? * (Please provide a value for Where did you hear about Centrepoint Partnering?)

The Centrepoint website

A current member

A mailing from Centrepoint

Other

"> If other, please specify

"> Are you happy to be added to the Centrepoint Partnering mailing list? *

Are you happy to be added to the Centrepoint Partnering mailing list? * (Please provide a value for Are you happy to be added to the Centrepoint Partnering mailing list?)

Yes
No

ARE YOU HOMELESS, SOFA SURFING OR AT RISK?