Application for Membership and Insurance

Group Name
*
Email
*
Facebook
*
Group Contact First Name
*
Email Updates from Youth Scotland
*
Twitter
*
Group Contact Last Name
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Instagram
*
Local Authority
*
Website
*
Please enter a short descriptor of your group and how it operates
*
Addresses
Address 1
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Address 2
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Address 3
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Town / City
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Region
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Postcode
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Telephone
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How many locations does your group operate in?
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Address 1
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Address 2
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Address 3
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Town / City
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Region
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Postcode
*
Address 1
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Address 2
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Address 3
*
Town / City
*
Region
*
Postcode
*
Address 1
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Address 2
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Address 3
*
Town / City
*
Region
*
Postcode
*
Address 1
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Address 2
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Address 3
*
Town / City
*
Region
*
Postcode
*
Address 1
*
Address 2
*
Address 3
*
Town / City
*
Region
*
Postcode
*
Address 1
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Address 2
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Address 3
*
Town / City
*
Region
*
Postcode
*
Telephone
*
Governance, Policies and Services
Written Constitution
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OSCR Registered
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Ltd Company
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SCIO
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CIC
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Social Enterprise
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Part of Organisation
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Organisation
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Law at Work
*
We have a Child Protection Policy in place
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Need Assistance with Child Protection Policy
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Name of the Child Protection Officer for your group
*
 
We have a Health and Safety Policy in place
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Need Assistance with Health and Safety Policy
*
 
How does your youth group access the PVG Scheme?
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PVG Organisation
*
 
We would like to access the PVG Scheme through Youth Scotland
*
 
Name of the PVG Main Contact for your group
*
Employs Staff
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PAYE Reference
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Recruits Volunteers
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External Staff / Volunteers
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Group Information
Community Centre
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Youth Centre
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Village Hall
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School
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Faith Based Building
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Other
*
Please specify
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Number of groups supported
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Junior
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Senior
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Boys
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Girls
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Drop-in
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Sports
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Arts / Drama
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Youth Café
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After School Club
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Detached Youth Work
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Interest / Issue Based
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Faith Based
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Other
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Please specify
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Sunday
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Monday
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Tuesday
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Wednesday
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Thursday
*
Friday
*
Saturday
*
Time of year group operates
*
Annual Turnover
£*
Demographics
5-7 Male
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5-7 Female
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8-11 Male
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8-11 Female
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12-14 Male
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12-14 Female
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15-17 Male
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15-17 Female
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18+ Male
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18+ Female
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Full-Time Male
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Full-Time Female
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Part-Time Male
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Part-Time Female
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Volunteer Male
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Volunteer Female
*
Insurance
Insurance Cover Required
*
Insurance Provider
*
Insurance Policy Number
*
Welcome Pack
Welcome packs will be sent electronically. If you require a hard copy, please untick.
*
Cheque Payment InformationCheques should be made payable to Youth Scotland and posted to: Youth Scotland, Balfour House, 19 Bonnington Grove, Edinburgh, EH6 4BL. Please write your group's name and/or membership number on the back of the cheque.BACS Payment Information
Account NameYouth Scotland
Sort Code80-02-27
Account Number00995847
Payment Reference