NRC and NCVO membership application form

A. Details of your supplementary school (where the supplementary classes are run)

:

Name of the school/organisation: *

Address of school/organisation: *

City/town: *

Postcode: *

Telephone number: *

Fax number:

Email:

Website:

What local authority area is your school based in?: *

Membership of both the NCVO and the NRC is valid until 31 March 2009.

B. Details of the main contact person (who will receive all membership information):

Contact person first name: *

Contact person family name: *

Address for correspondence (if different from above):

City/town:

Postcode:

Telephone number (if different from above):

Fax number (if different from above):

Email address: *

We will send a copy of your membership form to this email address, as confirmation that we have received it.

Mobile number:

C. General information:

1 What community/communities does the school serve? (eg you might say: Assyrian, Polish, South Acton Estate): *

2 What are the age groups of children who attend?: *

3 What is the average number of children attending classes each week?: *

4 On what days and at what time does the school run?: *

5 How many hours a week of classes are there?: *

0-4

5-10

10+

6 What national curriculum subjects are taught (if applicable)?:

If other, please specify:

7 What languages are taught (if applicable)?:

8 What other activities take place?:

If other, please specify:

(For an explanation of these categories, please see the DCSF website www.standards.dfes.gov.uk/ethnicminorities/faqs)

9 What is the ethnic origin of most children attending? Please choose from the categories below.

White:

Mixed:

White and Black Caribbean

White and Black African

White and Asian

Any other mixed background

Asian or Asian British:

Indian

Pakistani

Bangladeshi

Any other Asian background

Black or Black British:

Caribbean

African

Any other Black background

Other:

Chinese

Any other ethnic background

If other, please specify:

10 Is your supplementary school a registered charity?: *

Yes

No

If yes, please state charity number:

11 Total number of paid staff: *

12 Total number of volunteers: *

13 What is your gross annual income?: *

Less than £10,000

£10,000-£50,000

£50,000-£100,000

More than £100,000

As a member of the NRC and the NCVO, you will be entitled to receive the range of benefits listed on this website.

If you do not wish to benefit from free NCVO membership, please tick here

The NRC produces a three monthly magazine called The Bullet!n, and a monthly e-newsletter called The E-Bullet!n. Members will automatically receive both of these. If you do not wish to receive them, please tick this box.

In addition to their core communication with members, NRC and the NCVO may wish to contact you from time to time to update you on events or services which may be of interest to you. If you do not wish to receive this additional information, please tick

We will not pass on any personal details, other than the contact name for your supplementary school, to any third party.

However, your supplementary school's details may be passed on to third parties to enable networking to take place, to promote partnerships or to enable the public to find out more. Please tick the box if you do not wish your details to be passed on

Our recommended retailers may also want to contact you on our behalf to update you on the range of special discounted products and services available to NRC and NCVO members. If you do not wish to receive this information, please tick here

The NRC is not a regulatory body. This membership is based on trust. If we discover that you are not a supplementary school or if you provide fraudulent information, you will immediately be removed as a member.

To complete your application, please click the submit button below and then fill in the Code of Practice form on the next page. You must fill this in in order to become a member.

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NRC and NCVO membership application form

A. Details of your supplementary school (where the supplementary classes are run)

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