AnnualLocal Authority Modeshift Membership

*ONE FREE ANNUAL SCHOOL TRAVEL CONVENTION SPACE INCLUDING ACCOMODATION AND A FREE SCOOTERPOD (FROM CYCLEPODS) WORTH £350 WITH THE NEW MODESHIFT 12/13 MEMBERSHIP*

To secure your membership space at the price above please complete and return this form by Friday 1st June 2012 to

What is Modeshift?

Modeshift is a national membership organisation that specialises in active and sustainable travel and provides behaviour change support for those working with children, young people, families and school communities.

Modeshift also seeks to influence national debate, government policy and public opinion - and works with other organisations to achieve common goals.

Objectives:

  • To increase active and sustainable modes of travel journeys for education
  • To support the provision of skills, training and experiences to enable young people to travel more safely and independently

Name of Local Authority:

Lead/Contact officer

Name
Title/Role
Email
Telephone
Address

Schools

A / Total schools in the LA

To secure your membership space at the price above please complete and return this form by Friday 1st June 2012 to

LA membership fee / £ per year / Please tick
The LA would like to sign up for the new annual membership fee of £249 to Modeshift to include access to RSTA support, website and *onefree School Travel Convention space. See full details below. / £249
The LA would like to sign up for the new annual membership fee of £399 to Modeshift to include access to RSTA support, website and twoConvention spaces (*one free space and one space at the early bird rate). See full details below. / £399
Early bird additional conference spaces (until June 1st) State number of additional spacesrequired in the tick box. Standard delegate rate after June 1st will be £175 / £150
Purchase Order Number for 2012 – 13:

* Free spaces are non-refundable

** A cancellation fee of 50% applies to all early bird conference spaces

What will Modeshift provide under this agreement?

Regional/Sub national support for Local Authority officers

This function will replace the Regional School Travel Advisor (RSTA) support which ended on 31st March 2011 and will provide:

  • Two regional meetings for networking and information sharing
  • Termly newsletter for you to distribute to schools and other contacts with best practice case studies and ideas for campaigns
  • Termly competitions for your schools and their pupils
  • Email updates where applicabledisseminating key government policy, campaigns, initiatives and other relevant information as well as additional ad-hoc communications on important issues or events which are time sensitive.
  • Respond to Government policies, consultations on behalf of all members
  • Access to the Modeshift website for up to 5 users
  • Online e-forum for sharing issues/questions/practise and an online knowledge bank of materials, documents, case studies, presentations and policy documents
  • Information and advice support service (phone and email) for LA officers
  • *One free space at the School Travel Convention. All inclusive of conference attendance, accommodation and catering. An early birdrate will be offered to other members in the LA until June 1st.
  • Discounts secured with partners and sponsors of Modeshift including – a free Scooterpod in the colour of your choice from Cyclepods Ltd worth £350

Monitoring and evaluation

  • Annual survey of schools to establish take up of, attitudes to and effectiveness of STAR (Sustainable Travel Accredited and Recognised) Accreditation and related interventions, campaigns and events. Results will be provided at local and national levels.

Your say!

  • All members will be asked to vote on changes to the organisation through its constitution. Your membership therefore entitles you to vote on changes either proposed by the management board or by other LA members

To secure your membership space at the price above please complete and return this form by Friday 1st June 2012 to