Organisation Registration Form

1. Name of Organisation: Name of Department or Project (if applicable): Address: Town: Postcode: Home address Business address Tel No: Fax No: Email: Website: Are you able to support someone with an additional support need?

2. Main Contact Person Contact details of people in your organisation. Please indicate if you do not wish us to pass these details on to prospective volunteers eg, if this is a home address. Main Contact Person: Position: Email: Tel No: Mobile: Can we provide prospective volunteers with your contact details? Yes No

3. Other Contacts Please give details of any other people you feel it would be appropriate for us to record. Name: Position: Email: Tel No:

Name: Position: Email: Tel No:

4. Are you a branch of a larger organisation? Yes (see below) No If yes, please give name of organisation?

5. Is your organisation a Social Enterprise? Yes No Don’t Know 6. Is your organisation a place of worship? 7. Are you a registered Charity? Yes (see below) No Registered Charity Number? Date established: 8. What is your organisations legal status? Community Interest Company SCIO (Scottish Charitable Incorporated Company (Company No): Organisation) Industrial & Provident Society Trust Not applicable Unincorporated Association 9. Which of the following best describes your organisation’s main activities and classifications? (This will allow us to accurately categorise your organisation, select as many as appropriate). Addictions Fundraising/Funding Advice/Information Health Advocacy Helplines Animal Welfare Housing/Homelessness Arts and Culture Housing Association Befriending/Mentoring Law and Justice Black/Minority Ethnic Learning Disability Campaigning/Lobbying Men Carers Mental Health Charity Shop Money/Debt Advice Children Services Offenders/Ex-offenders Community Council Older People Community Development Overseas Aid/Developing World Community Facilities Physical Disability Community Forum Poverty Community Safety Refugees/Asylum Seekers Community Transport Self-Directed Support Counselling Self Help/Support Credit Unions/Community Banking Sensory Impairment Drug/Alcohol Issues Sexuality

To be completed by VAER Clearing house date: Key worker allocated: Or referred to: Perceived Social Enterprise:  Yes  No

Admin:  Added on Milo  Added on Network List  Added on Mailchimp Education/Learning/Training Single Parent Emergency Response/Disaster Relief Social Care Employment Social Economy/Social Enterprise Environment/Recycling Sport/Leisure/Recreation Equality Volunteering Faith/Religion/Belief Welfare Rights/Benefit Family Support Women Food Banks Young People

To be completed by VAER Clearing house date: Key worker allocated: Or referred to: Perceived Social Enterprise:  Yes  No

Admin:  Added on Milo  Added on Network List  Added on Mailchimp 10. What are your organisations local community planning themes? Older People Protect & Sustain Our Environment Community Involvement Regeneration Community Safety & Environment Safer & Stronger Community Wellbeing Smarter Health & Care Social Enterprise Health & Social Care Integration Third Sector Community Health & Wellbeing Don’t Know Lifelong Learning 11. Does your organisation provide services to organisations and/or individuals? Organisations Individuals No. of Service Users: 0-10 No. of Service Users: 0-10 11-100 11-100 101-1000 101-1000 1000+ 1000+ Unknown Unknown

12. What services does your organisation deliver? 13. What is your organisations referral source? Education Self Referrals Health Social Justice Other Voluntary Organisations Social Work Police Others 14. What geographical areas does your organisation cover? International Neighbourhoods Local Authority Wide Scotland Wide More Than 1 Local Authority Area UK Wide 15. What neighbourhoods does your organisation cover? Barrhead Neilston Busby Newton Mearns Clarkston Thornliebank Eastwood Uplawmoor East Renfrewshire Waterfoot Giffnock 16. Please describe the aims of your organisation. (Approx 50-60 words - this information will be used to provide details about your organisation to prospective volunteers so please be as clear and concise as possible).

of 5 17. Does your organisation have the following policies in place? (Volunteers in your organisation should be covered by the four minimum requirements below*): Equal Opportunities Policy* Yes No Would like more information Health & Safety Policy* Yes No Would like more information Volunteer Policy* Yes No Would like more information Child Protection Policy Yes No Would like more information Vulnerable Adults Policy Yes No Would like more information Equality and Diversity Policy Yes No Would like more information CRBS Registered Yes No Would like more information Volunteer Friendly Awards Winner Public Liability Insurance* 18. What is your enquiry about (tick all that apply)? Employment Policies (which policy?) Social enterprise Finance Training Fundraising Premises Volunteers Governance Quality mark Other (please specify): ICT Registering as charity Networking Setting up the group VAER publishes very basic details of voluntary and community organisations on its main website and micro sites. Please tick if you do not want your details to be included on these websites VAER passes on details of voluntary and community organisations for research and marketing purposes (all information is anonymous). Please tick if you do not want your details passed on to a third party I am authorised to sign this on behalf of my organisation. Name (Print): Position in Organisation: Signature: Date: Thank you for completing this form. Please return to: Voluntary Action East Renfrewshire SCIO underCOVER 56 Kelburn Street Barrhead G78 1LR Email: [email protected]

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