Section 1: Contacting your organisation City Postal Code Phone Number Mobile Number Website Facebook Twitter Organization Name Is your organisation known by any other name? Address Line 1 Address Line 2 Address Line 3 Email Main Contact First Name Last Name Telephone Number Email Job Title Role within organisation - None -EmployeeVolunteerTrusteeChief Exec (or equivalent) Privacy Preferences Publications and Forums VOCAL (Children and Young People) Salford CVS E-News Funding opportunities BASIS (Health & Social Care) Training opportunities Trustee E-bulletin Volunteering in Salford Newsletter Strategic Voice Section 2: What your organisation does What do you do? Please give a short description of your organisation, what it does and who it works with. Please be as clear as you can because this information will be added to our website. Where do you work? City Wide (whole of Salford) Claremont, Weaste & Seedley East Salford Eccles Irlam & Cadishead Little Hulton & Walkden Ordsall & Langworthy Swinton Worsley & Boothstown If you only work in specific areas of Salford, please tick which areas. Services and Areas of Work Advice, support & information services Advocacy Animal welfare Arts & Culture and Heritage Befriending Business and social enterprise support Campaigning Carers services Children, young people & families Community development Community services and/or facilities Counselling and therapy services Crime and community safety Day care services Domestic abuse and/or sexual abuse Education/training Employment/work Environment and conservation Faith and/or religion Financial Services Funding and grants Health and well-being Homelessness Housing and related support International aid Lunch clubs Mediation Mental health services Mentoring Out of school provision/play work Poverty/low income Regeneration Sexual health Social activities Social and community care services Sports and leisure Substance misuse Telephone helpline Tenants and residents services Translating and/or interpreting Transport Voluntary and community sector support Volunteering Youth work Please select your organisation’s main focus below. Your main focus will be used to categorise your organisation on the online directory. Who Do You Work With? All Client Groups Adult offenders and ex-offenders and their families Asylum seekers and/or refugees Black and Ethnic Minority Carers Children (aged 0 - 5) Children (aged 6-11) Children & young people with disabilities Faith communities Families and/or parents Gay/lesbian/bisexual Gypsies and travellers Homeless people Learning disabilities (people with) Lone parents Looked after children Long-term/chronic illness (people with) Low income (people on) Men Mental health problems (people with) Migrant communities Older people Physical disabilities (people with) Sensory impairment (people with) Substance misusers (drugs/alcohol) Survivors of abuse and/or victims of crime Tenants and residents Transgender Unemployed people Voluntary and community groups Volunteers Women Young people (13-19) Young offenders Other Veterans/ Ex service people Children (aged 12 - 15) Young people (aged 16-19) Young people (aged 20-25) Disabled people (all) Employed Carers (adults) Young carers Please tick up to four groups and only tick those client groups that you mainly work with. For example, if your organisation provides mental health services open to everyone, only tick ‘mental health problems’. If you deliver a mental health service specifically for women who use drugs, you would tick mental health problems, substance misusers, women. Please describe the other groups of people you support If you selected Other, please list Do you have room/s for hire? Yes No Venue and Meeting Space Venue and Meeting Space The Salford voluntary and community sector online database has a venue and meeting room search function. If you have meeting or other space to hire out in Salford, please give the details here. Smallest room capacity Biggest room capacity How many rooms do you have available to rent? Facilities and resources Wheelchair access Hearing loop Catering provided Refreshments provided Car parking Disabled parking Photocopying Event management facilities Other resources Please describe your other resources What area is your venue or meeting space in? City Wide (whole of Salford) Claremont, Weaste & Seedley East Salford Eccles Irlam & Cadishead Little Hulton & Walkden Ordsall & Langworthy Swinton Worsley & Boothstown What are your opening days and times, and when is your venue and meeting space available? Supporting other voluntary and community organisations Supporting Organisations Markup This section is only for those organisations who have ticked that they provide voluntary and community sector support and/or work with voluntary and community groups. What kinds of organisations do you support? Charity & Company law and registration Employing people Finance, accounting and bookkeeping Funding advice Governance (committees and trustees) ICT Marketing and communications Monitoring and evaluation Networks and partnerships Organisation development Planning Resources Trading and service delivery Volunteering Other Please describe the other kinds of organisations your support Promoting Your Organisation Markup Promoting Your Organisation With your consent, the information that you have provided in sections previously in this form will be made public, including as part of the searchable database on Salford CVS’s website. This will help to promote your organisation, its work and activities. The information below this question will not be made public. Include my organisation on the directory of groups - Select -YesNo Hide my organisation's address on the public directory - None -YesNo Hide my organisation's email address on the public directory Yes No Hide my organisation's telephone number on the public directory - None -YesNo Section 3: About your organisation About Your Organisation Markup The information below is all confidential. It will be used for monitoring and administration purposes and to help us to target our services appropriately. It will also be used to provide general anonymised statistics about voluntary and community organisations that we work with, for example, how many organisations employ staff. Company Limited by Guarantee - None -YesNo Company Number Community Interest Company - None -YesNo Number Registered Charity - None -YesNo Charity Number Charitable Incorporated Organisation - None -YesNo Number Number of Volunteers Average hours worked by each volunteer Constituted Group (Unincorporated Association) - None -YesNo Other Organisation Type - None -YesNo Year Established How many Full-Time Equivalent (or FTE) employees do you have? Number of people on the Management Committee Total Income Does your organisation have any support and development needs? - None -YesNo We can help, so please tell us below and we will contact you BASIS (health & social Care forum) Yes No VOCAL(children, young people and families forum) Yes No Volunteers co-ordinators Forum Yes No Third Sector Leadership Group (for Chief Executives) Yes No Your Agreement Markup How we will use your information The information you have given on this form will be added to Salford CVS's database. If you have given your consent above, Salford CVS will also publicise you contact details and the information you have provided about your services and beneficiaries on the Search Groups facility on our website. We will not publish any other information. Salford CVS complies fully with the Data Proctection Action. Please ask if you'd like to see our Data Protection Policy. Declaration We confirm that we want to register on Salford CVS’s database and accept the terms in above (How we will use your information). We agree to become a member of Salford CVS, which is a charitable company. If the company is wound up, we promise to pay the sum of £10 towards its debts, if asked to do so. We confirm that we support Salford CVS’s aims and objects.