User Registration of Interest
Key Contact Details
Organisation Name:
Contact Address:
Postcode:
Telephone:
Mobile:
Named Contact:
e-mail Address:
Please State Preferred Method of Contact:
Type of Organisation
(please tick which applies)
Voluntary Sector
Public Sector
Private Sector
Expertise and Interest
(aims and objectives of your organisation)
Type of services offered,
e.g. training delivery, basic skills etc
Timing and duration,
e.g. sessions per month and hours
Days and time of interest
(please tick)
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Questions: please X your answer
Yes
No
Would you be able to contribute any staff time to the project?
Can your organisation afford to contribute to the costs of the provision?
(no matter how little)
Would you be interested in working together on other projects?
Outcomes and Impact for your organisation
NB Completion and submission of this form does not commit either party to participation or liability
