Links CVS Database Form (2015)

 

FOR GROUPS THAT OPERATE IN CHESTERFIELD & NORTH EAST DERBYSHIRE

 

PLEASE FILL IN THE FORM BELOW TO BE INCLUDED ON LINKS DATABASE

In order to meet the requirements of the Data Protection Act, we are letting you know that the details you give will be used for distributing Links information.

We may also use it to provide information to other voluntary groups, statutory agencies, and individuals.

Organisation Contact Details
Main Contact Person
Please choose how you would prefer to receive the Linksline newsletter.
Newsletter Address Details
Address for Linksline Newsletter to be sent to (if you chose By Post above)
About Your Organisation
Work that you do or deal with? (i.e Children & Young People, Health, Older People etc.)
Please tick the following that apply to your organisation?

If so how many? Please state below the number of full time and part time staff.

What is your organisations annual income?

If your group/organisation covers the whole of Derbyshire you do not need to fill in the other area sections.