Voluntary Action Barnsley - Online Directory Data Input Form

Voluntary Action Barnsley - Online Directory Data Input Form
Fields marked with * are required
Name of Group / Organisation *
Contact Name *
Telephone
Fax
Email *
Username *
Create Password *
Website
Address
Can all the above record appear in the directory?	Yes No
	Please specify the details that you want to appear on the directory.
	Contact Name Tel Fax Email Address
Nature of the project (What service do you provide)	Advice/Info/Counselling Advocacy Animal Welfare Arts/Culture/Heritage Befriending/Carer Childcare services Community safety (ie: neighbourhood watch) Education/Training Environmental Faith based Family support Fundraising Health & Social care	Home care Housing Infomation Tech Luncheon club Media Music Parent/Teacher ass Parish council Recreation leisure Respite care Service for carers Service for drug/alcohol users	Services for older people Services for people with learning disabilities Services for people with physical disabilities Services for people with sensory impairment Services for people with mental health problem Services for victims of domestic abuse Sport Tenant and resident association Youth based (ie: youth club) Other
Who are the beneficiaries of your group? (if applicable) (What service do you provide)	Pre school children Children Young People Homeless people Black & Ethnic minority Drug/Alcohol users	People with mental health problems People with learning disabilities People with physical disabilities People with sensory impairments Older people	Lesbian/Gay/Transgender Refugees/Asylum/migrant workers Family/lone parents Offenders/Ex-Offenders
Council Ward/Area that the group works in (tick all that apply) PLEASE make sure you select at least one district area!*	Barnsley Borough Wide Central Cudworth Darfield Darton East Darton West Dearne North Dearne South	Dodworth Hoyland Milton Kingstone Monk Bretton North East Old Town Penistone East Penistone West	Rockingham Royston St Helen Stairfoot Wombwell Worsbrough
Aim of the group
Activities of the group (ie: how often does the group meet?)
Is there a cost for attending the group?	No Yes (how much?)
What is your group looking to do? (if applicable)	Recruit Volunteers Get more people to use your group/service Increase membership Recruit trustees	Fundraise Seek donors Rent out meeting rooms
Does your meeting place have any of the following?	Disabled parking spaces Wheelchair access	Induction (Hearing) loop Lift (if applicable)
Does your group offer any of the following support?	Childcare provision Access to translators Written materials in different languages	Accessible website Voluntees to help vulnerable people Material produced in Braille