Links CVS Database Form

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 General Data Protection Regulations (GDPR), we are letting you know that the details you give will be used for distributing Links information to you. We may also share it to provide information to other voluntary groups, statutory agencies, and individuals.

Organisation Details

Organisation Name

Address

Address Line 2

City

Postal Code

Phone Number

Email

Links CVS distribute the following e-bulletins via email. Please tick which ones the Organisation would like to receive.

National News and Guidance

Local News and Events

Funding E-Bulletins

Main Contact Details

First Name

Last Name

Job Title

Email

Phone Number

Links CVS distribute the following e-bulletins via email. Please tick which ones the Main Contact would like to receive.

National News and Guidance

Local News and Events

Funding E-Bulletins

Other Contact Details

First Name

Last Name

Job Title

Email

Links CVS distribute the following e-bulletins via email. Please tick which ones the Other Contact would like to receive.

National News and Guidance

Local News and Events

Funding E-Bulletins

About Your Organisation

Please describe below your group’s/organisation's primary focus of work. Work that you do or deal with? (i.e Children & Young People, Health, Older People etc.)

Which sector does your group/organisation work in? Please select below

Organisation Status. Please tick the following that apply to your organisation?

Community Group

Registered Charity

Company Limited by Guarantee

Charitable Incorporated Organisation

Community Interest Company

Organisation Status Other

Charity No./Company No. (if applicable)

Which areas does your group/organisation cover?

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

Chesterfield

North East Derbyshire

Derbyshire Wide

National

International

Other

If you chose other area, please specify.

Does your group/organisation cover the whole of Chesterfield

Yes

No

Does your group/organisation cover the whole of North East Derbyshire

Yes

No

Any other Category