Website involvement membership form

Please note: The membership form is for all aspects of getting involved with Places for People.

You do not have to complete separate forms for each group.

Getting involved

Please tick the boxes of the groups that you are interest in joining.

Futures Group: Additional information

If you are interested in being a Futures group member, please submit the additonal information below. This is not necessary for Voice or ACLP.

Why are you interested in becoming a member of the Futures Group?

Please tell us about any experience you have had that you think would be relevant to the Futures Group. For example, work, voluntary or community experience…

Please tell us what involvement you have had with Places for People before?

Why do you want to be a member of the Futures Group?

Name:

Full Name:

Address

Street Address

Address continued

City

Postcode

Contact details:

Home phone

Mobile:

Do you have access to a mobile phone?

Would you be interested in being contacted by text message?

Email:

Gender

Date of Birth: dd/mm/yyyy *

Age:

Are you disabled/ do you have a disability?YesNo

How many times would it be ok for us to contact per year?2 times4 times6 timesI don't mind

Thank you for submitting this membership form.

A member of staff will contact you if we require further information.

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