Membership Form 2018-19
We are really pleased that you have decided to become a member of Oxfordshire Youth for 2018 - 2019. We are excited to be introducing some new benefits to our membership programme this year as shown in our Membership Benefits document. In order for us to be able to contact you and for you to be able to access the membership to the fullest we require you to fill in the form below. Please answer all sections by writing in the space provided or by selecting the appropriate boxes.

If you submit this form between 1st February - 30th April you will receive a 10% discount on the fee.

If you have any questions about this form or the membership programme, please contact the membership team on
01865 767899 or members@oxfordshireyouth.org

Name of Organisation *
Your answer
Address/Venue of Organisation *
Your answer
Website Details
Your answer
Facebook Details
Your answer
Twitter Details
Your answer
Membership Level *
Contact Details
Please provide details of the individual who will be the lead contact for all Oxfordshire Youth membership related communications (i.e Lead Youth Work or Project Manager)
Name *
Your answer
Role Title *
Your answer
Postal Address *
Your answer
Telephone *
Your answer
Email *
Your answer
Chair of Committee/Trustees
After you have submitted this form, we will get in touch to talk about our services available for Boards of Trustees.
Name of Chair of Committee/Trustees
Your answer
Youth Work
It is really helpful to Oxfordshire Youth to know what sessions you run at a regular time each week as this helps us when booking training and events. Please specify this below:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Please Tick
Frequency
Term Time Only
Age ranges you work with within your organisation *
Required
Youth Representative
You are invited to put forward one young person between the age of 13 -18 to be your organisation’s Youth Rep to the Voice Youth Committee. More information on this role can be found on the Youth Reps info sheet. After you have submitted this form, we will get in touch with the next steps for your Youth Rep.
Youth Representative Name
Your answer
Staff/Volunteers
Please indicate the number of volunteers/workers involved with the group.
Full time paid
Your answer
Part time paid
Your answer
Volunteers (including committee members
Your answer
Young Leaders (aged 14-21)
Your answer
Organisation Governance
Minimum Standards
Oxfordshire Youth supports youth groups and organisations who work with young people in a safe, effective and sustainable manner. To ensure that we are able to meet this aim, we uphold the following standards of membership.

To be a member your group or organisation should;
o accept the aim of Oxfordshire Youth
o be working with young people in Oxfordshire aged 8 - 25
o have appropriate policies and risk assessment procedures in place (below)
o be in agreement with the Equal Opportunities Statement of Oxfordshire Youth
o have a constitution or governing document
o have a dedicated bank account
o have a management committee/trustee board

Please confirm that the organisation meets Oxfordshire Youth’s minimum standards as above. Please let us know if you are missing any parts as we can provide support with this. Membership will be dependent on having these in place.

*
Required
Please provide details below
Tick to Confirm
Safeguarding Policy and Procedures
Health and Safety Policy and Procedures
Equal Opportunities Policy or Statement
Risk Assessment Policy and Risk Assessment for both on-site and off-site activities/trips
Legal Status of Organisation *
Required
Type of Organisation
Please select the organisation type that best describes your organisation.
Please select the organisation type that best describes your organisation: *
Required
If you answered Specialist Activity above, please advise programmes you offer *
Required
Training
Yes
No
At least two volunteers/members of staff per session with young people must have a valid First Aid qualification.
All volunteers/staff should be trained in safeguarding and this should be updated every 3 years.
Disclosure and Barring Service (DBS) Checks
All staff/volunteers undertaking regular, unsupervised activity with the group must obtain an enhanced disclosure through the Disclosure and Barring Service prior to commencing work with the group – these should be renewed every 2 years unless registered with the update service.
DBS
Yes
No
Please confirm that all of your committee members, volunteers and paid staff requiring appropriate DBS checks have been adequately checked and their certificates have been seen by a senior manager or senior committee member.
Adequate Public Liability & Professional Indemnity Insurance
Yes
No
Please confirm that you have a relevant and appropriate level of insurance consistent with the function and activities of your organisation.
Final Questions
How did you hear about Oxfordshire Youth? *
Required
Reasons for joining *
Required
Data Protection
How we will use your data - We will primarily use this data to contact you in order to carry out our service but we do collate service details in order to map youth services within Oxfordshire and will report some of these statistics to funders and key partners.

We NEVER sell or make publicly available the personal contact details of the people on this form without your permission. The information you have supplied will be used as part of your Oxfordshire Youth membership.

We are contacted from time to time by partners, organisations or individuals wanting to know what youth provision is in their area, or who provides a service they require. In order to maximise opportunities, partnership working and a better understanding and mapping of the sector, we share the information about your organisation, but not the individuals.

For more information, please see our Privacy Notice on our website: http://www.oxfordshireyouth.org/privacy-notice/

Declaration
By submitting this membership form you, and all representatives of your organisation, agree to meet Oxfordshire Youth’s minimum standards of membership (as above) and adhere to our Membership Terms and Conditions as outlined alongside the member benefits. These are available to download from our website at www.oxfordshireyouth.org. Oxfordshire Youth reserves the right to refuse or terminate a membership at any time.

We the undersigned apply to be members with Oxfordshire Youth and in doing so understand that our membership will be registered with both Ambition and UK Youth. We accept the standards of membership and the aims of Oxfordshire Youth, Ambition, the National Association for Boys and Girls Clubs (NABGC) and UK Youth. We understand that it is our responsibility to provide adequate insurance for all activities undertaken.

Payment
Payment can be made by cheque payable to "Oxfordshire Youth" or by BACS:
Oxfordshire Youth - Barclays Bank Plc
Sort Code 20-97-48 Account Number 03194531
Please note that membership will only commence when both payment and the membership form have been received.
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