Your organisation name: *

Chairperson Trustee Committee Member Treasurer Volunteer/Member Staff Member Membership Secretary

Your name: *

Contact telephone number:

Your email address: *

Chosen username: *

Chosen password: (6 Character Minimum)*

Mailing address (so we can contact you):

Address line 1:

Address line 2:

Address line 3:

Town / City:

County:

Postcode:

Your community group address details

Use my address details as shown above:

Address line 1:

Address line 2:

Address line 3:

Town / City:

County:

Postcode:

Website:

Type of community group:

Children's Education / Schools Citizens Group Community Safety / First Aid Education for adults Environmental / Animal Welfare Hobbies / Recreation / Arts Justice and Human Rights Local Community or Neighbourhood Groups Politics Religion Sports / Exercise Group Older People Trade Union Activity Youth / Children's Activities (Outside School) Other

If your community group type is not listed above please specify in the space provided:

Region:

North East North West Yorkshire and Humberside East Midlands West Midlands South West South East Greater London East of England

Size of group:

Less than 5 Members 5 - 20 Members 21 - 50 Members 51 - 100 Members 101 - 250 Members 251 - 500 Members Over 500 Members

Is your group a member of or affiliated to one of these national Voluntary Sector Umbrella Organisations?

Please Select an Organisation ACRE (Action with Communities in Rural England) bassac (British Association of Settlements and Social Action Centres) Black Environment Network BNRRN (Black Neighbourhood Renewal & Regeneration Network) BTCV (British Trust for Conservation Volunteers) Capacity Global CDF (The Community Development Foundation) Centre for Sustainable Energy Civic Trust Community Development Exchange Community Matters Community Recycling Network Development Trusts Association Educational Centres Association FCDL (Federation for Community Development Learning) Federation of City Farms and Community Gardens FRN (Furniture Reuse Network) GAP (Global Action Plan) Green Space Groundwork UK NAVCA (National Association for Voluntary and Community Action) NCVO (The National Council for Voluntary Organisations) NESTA Big Green Challenge Sustrans Novas Scarman Group The Wildlife Trusts TPAS (Tenant Participation Advisory Service) Trafford Hall (The National Communities Resource Centre) Urban Forum Other Organisation

If your affiliated organisation is not listed above please specify in the space provided

How did you hear about the scheme?

Web Friend / Colleague Voluntary Sector Organisation EAC Community Champion Other

If other please specify in the space provided:

Are you happy to be involved in the ongoing evaluation of this programme?

Yes No

Are you happy to receive emails from the everyactioncounts.org.uk website?

Yes No

Please select your preferred email format:

HTML Text

Receive a free Community Pack to help plan your actions?

Please read the TERMS & CONDITIONS carefully before registering on this website. Registering on this website indicates that you accept these terms & conditions. If you do not accept these terms & conditions, do not register on this website.

I confirm that I have read the terms & conditions and wish to proceed