The Council for Voluntary Service for the Torridge District

TTVSMembership Form

Tel: 01237 420130 email:

Please tell us the details about your organisation or group for our database.

  1. NameGive the preferred name of your organisation or group.
  1. Description / Organisation Aims and Activities

Please provide a description of the work that you do, who you provide services to and details of any regular meetings. If you already have a useful description in a leaflet you could highlight that and send it to us.

  1. Service and Client Groups

Pleaseindicatethe services you provide and client groups served from the options below.

Service: (please tick up to a maximum of 4)

Advice – Benefits and Financial / Day Centres / Lunch Club / Misuse – Alcohol
Advice – General / Domestic Abuse / Misuse – Drugs
Advice – Specialist / Education / Misuse – Substance
Advocacy / Education – Early Years / Parish Council
After School Clubs / Environment / Parks / Open Space
Allotments / Horticulture / Faith / Pension
Animal Welfare / Family Support / Play
Arts / Funding / Poverty / Social Welfare
Befriending / Health – Alternative / Recycle / Reuse
Bereavement / Health – General Social Care / Residential Home
Building – Community Shop / Health – Mental / Self Help
Building – Sports Hall / Health – Specific / Skills / Training
Building – Village Hall / Heritage / Preservation / Social Activities
Carers Support / Housing / Homelessness / Special Needs
Charity Shop / International Aid / Sports / Leisure
Child Care / Language – English / Tenants /Resident Support
Clubs and Societies / Language – Other / Transport
Community Development / Legal / Victims of Crime
Conservation / Leisure / Vol Sector Support
Counselling / Library / Young People – Targeted
Crime and Safety / Media / Young People – Universal
Criminal Justice / Mediation

Who do you provide services for: (please tick up to a maximum of 4)

Asylum Seeker/Refugees / Ex-offenders / Older People
Black /Ethnic Minority / Faith / Parents
Carers / Families / Parents – Single
Carers – Young People / Health Mental / Substance Misusers
Children (0-10) / Health Specific / Tenants / Residents
Community – General / Homeless / VCS Groups
Disability – Hearing / International / Victims of Crime
Disability – Learning / LGBT / Women
Disability – Physical / Men / Young People (11-19)
Disability - Sight / Offenders
  1. Geographical Area of Service

Please indicate in which geographical area(s) you operate:

Bideford / Holsworthy / Torrington
Bideford Rural / Holsworthy Rural / Torrington Rural
Torridge District / North Devon District / Devon wide
Other (please specify)
  1. Structure

Income Bracket:

Please indicate from the options below

Under £5,000 / £25,001 - £100,000 / £500,000 +
£5,001 - £25,000 / £100,001 - £500,000 / Not Known

Volunteers:

Please indicate how many volunteers your organisation uses if any

None / 6-10 / 21-50
1-5 / 11-20 / Over 50
Date your organisation was established
Number of full time equivalent employees

Is your organisation:




/ Community Group or Club without a constitution
Community Group or Club with a constitution
Self Help / User Led Group
Branch of National Organisation (please specify)
Registered Number
Registered Charity
CIC
CIO
Company Limited by Guarantee
Social Enterprise
Other Please describe
Does your organisation hold any Quality Standards?
(e.g. Ofsted, Investors in People, PQASSO, MABF Approved Provider) Yes/No
If yes please give details:
  1. Main Contact for your Organisation

Please give the main contact we should use when corresponding with your organisation or group. Note that you need not fill in your group’s contact details below if they are confidential. If you do not provide a public address, please make sure you fill in the ‘Contacts’ section and include main contact’s address details there for our purposes only.

Name / Position
Mail address and contact details for this person
Address / If different from organisation
address / Telephone
Email
Other
Postcode
  1. Other Contacts for your Organisation

Please supply the details of contacts that we should hold for your organisation. Information you provide here is for our purposes only, to assist in communicating with the relevant persons at your organisation and delivery our services more effectively.

Name / Position
Mail address and contact details for this person
Address / If different from organisation
address / Telephone
Email
Other
Postcode
Name / Position
Mail address and contact details for this person
Address / If different from organisation
address / Telephone
Email
Other
Postcode
Please return this form with your remittance of £25 to:
Jane Creese
CVS/VC Administrator
TTVS
14 Bridgeland Street
Bideford
Devon
EX39 2QE
If you are paying by BACs you can email the form to: email:
Cheques should be made payable to TTVS.
BACs Details:
TTVS
Sort Code: 40-52-40
Acc No: 00017139
If you require a receipt please tick this box
Office use only:
Payment Received: __/__/__Receipt Issued: Database Added to Distribution List

Registered Charity No: 1125142Company limited by guarantee. Registered in England no 6577677

Registered Office14 Bridgeland Street, Bideford, Devon, EX39 2QE