2018 FREE VANL (SCIO) Membership
A visit to our website ( will give you a flavour of what membership of VANL could offer your organisation and your volunteers.
Organisation Name:
Organisation Type: (please tick)
Voluntary Organisation Place of WorshipUniformed Group
Educational Establishment Statutory Partnership/Network
Organisation Address:
Phone Number: ______Post Code:______
Website: ______
Organisation Email: ______
Is your organisation a Social Enterprise? Yes No don’t know
Is your organisation Saltire Registered?Yes No don’t know
Does your service have charitable status in Scotland?Yes No
If so, what is your charity number? SC0______
What is the legal status of your organisation?Please tick one of the following statements:
Unincorporated association (community group)Industrial Provident Society
Scottish Charitable Incorporated Organisation (SCIO) Trust
Company Ltd by guarantee please state your Company Registration no: ______
In whichyear was your organisation (or branch project) established______
MAIN ACTIVITIES
Please select up to 3areas of your organisations activity:Addiction / Community Forum / Helpline / Physical Disability
Advice/
Information / Community Safety / Heritage / Poverty
Advocacy / Community Transport / Horticulture / Refugees/ Asylum Seekers
Agriculture / Counselling / Housing Association / Residents Association
Animal Welfare / Credit Unions/ Community Banking / Housing/ Homelessness / Self-Directed Support
Arts & Culture / Drug/Alcohol Issues / Law & Justice / Self-help/ Support
Befriending/
Mentoring / Education/ Learning/ Training / Learning Disability / Sensory Impairment
Black/Minority Ethnic / Emergency Response/ Disaster Relief / Lunch Club / Sexuality
Campaign/ Lobbying / Employment / Marketing / Single Parent
Carers / Environment/ Recycling / Media / Social Care
Charity Shop / Equality / Men / Social Economy/ Social Enterprise
Children Services / Faith/ Religion/ Belief / Mental Health / Sport Leisure /Recreation
Community Council / Family Support / Money/Debt Advice / Volunteering
Community Development / Food Banks / Offenders/
Ex-Offenders / Welfare Rights and Benefits
Community Event / Fundraising/ Funding / Older People / Women
Community Facilities / Health / Overseas Aid/ Developing World / Young People
LOCAL COMMUNITY PLANNING
The third sector is a major contributor to Community Planning in North Lanarkshire. Community Planning is the process by which the local authority and other public bodies work together with local communities, businesses and voluntary groups to plan and deliver better services and improve the lives of local people.
Which of the following key areas of Community Planning in North Lanarkshire do you feel that your organisation contributes to? (Please tick all that apply)
Community Safety & Environment Regeneration
Health & Social Care Integration Don’t Know
Health & Wellbeing None
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NEIGHBOURHOOD SERVED
In which geographical area do you operate?(Please tick)
Internationalo You UK Wide Scotland Wide Local Authority Wide
More than 1 Local Authority area Specific local neighbourhoods
If you answered yes to specific neighbourhoods, which locality?(Please tick)
Airdrie & Villages Bellshill & District Coatbridge
Cumbernauld & Northern CorridorMotherwell Wishaw
AIMS & OBJECTIVES
Please provide a brief statement about your organisation’s main aims and objectives (e.g. a mission statement), as you would like others to read about you. This should be no longer than 100 words.
LOCATION
What hours are your organisation open?
Mon: Tues: Wed: Thurs: Fri: Sat: Sun:
Do you have dedicated disabled parking spaces at your premises?
Yes No Partial Plan in Place
Do you have disabled access at premises?
Yes No Partial Plan in Place
Do you have dedicated toilets at your premises?
Yes No Partial Plan in Place
CONTACT DETAILS
Contact Name: ______
Contact Position with Organisation:______
Contact’s Home Address: ______
______Post Code: ______
Contact Tel no: ______Mobile Tel No: ______
Contact Email: ______
Can this person’s details be shared with other voluntary or statutory organisations?
Yes No
Can this person’s details be published on the web as a contact for the organisation?
Yes No
PROFILING DATA
FINANCE
What was your total income from all sources in the last financial year? £______
What was your total expenditure from all sources in the last financial year? £______
Date of financial year end? ______
Are figures approximate? Yes No
STAFF
How many paid members of full time staff do you currently employ? ______
How many paid members of part time staff do you currently employ? ______
How many paid members of sessional staff do you currently employ? ______
VOLUNTEERS
Are volunteers involved in service delivery? YES NO
If so how many volunteers are involved in delivering services? ______
How many hours did the average volunteer involved in the service delivery contribute
to your organisation this year? ______
How many hours did the average management committee or board member contribute to yourorganisation this year? ______
VANL are committed to reducing the volume of paper we use as part of our efforts to be a greener organisation. Where possible we will always choose to send information by email.
Preferred address for email correspondence (please tick)
Organisation Contact
Preferred address for standard mailcorrespondence (please tick)
Organisation Contact
Name of Individual who would hold voting rights at VANL Annual General Meeting?
(n.b. please state one name only)
Name: ______Designation: ______
Signature: ______Date: ______
Thank you for taking up membership with Voluntary Action North Lanarkshire and for your continued support. We look forward to working with you and for you in the year ahead.
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