Membership Application Form

Address *

Full members are expected to attend the AGM & are entitled to vote
Associate members will be consulted on development but will not have a vote at the AGM which they are welcome to attend.
NB staff and volunteers of the Advice Service are not entitled to apply to be a full member.
Membership type

Full Member Associate Member
Status of member

Community group or local agency Individual Local Business Other
I would be interested in becoming a Trustee of the charity

Please contact me with more details
Please tell us why are you interested in becoming a member of West Somerset Advice *
What skills and experiences do you have that may be relevant to your work for West Somerset Advice Bureau?
Skills & experience *
Specialist areas of knowledge & experience *
How much time could you offer West Somerset Advice Bureau on a regular basis?
Please tell us which areas of work of the charity interest you
To find out more about the work of the charity please call 01643 704624
All Members agree to attend General Meetings and take an interest in the operation and development of the Company and its business. Members have a duty to respect the confidential nature of the business decisions of the Company.
Membership commitment *

I undertake to support the charity and have read the membership commitment.

Full Members should be sponsored by two current members. Please contact the membership secretary if you need more details to progress your application.
Name *

First Name Last Name
Name *

First Name Last Name

Consent and Declaration *

I understand that if I join West Somerset Advice Bureau (WSAB) as a Trustee, I will be asked to complete a Charity Commission Declaration. This will require me to provide personal details.
Data Protection Consent *

I consent to the use of information given in this application form to consider my application and understand that it will be treated confidentially at all times and that if I am concerned about how my data is handled I can complain to the Information Commissioners Office https://ico.org.uk/for-organisations/report-a-breach/
Declaration of suitability to be a Trustee *

I know of no reason why I would be unsuitable to become a Member of West Somerset Advice Bureau.
Please indicate if you are willing to complete diversity monitoring information *

Yes No
Ethnic Origin
Age
Do you consider yourself to have a disability or health condition that may affect your volunteering?

No Yes
Please tell us what support you will need to volunteer with us
Please either submit the form or return paper copy to

West Somerset Advice, Market House Lane, Minehead, TA24 5NW or by email

Admin@citizensadvicewestsomerset.org.uk
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