Full Membership form

Main contact name

Position

Telephone

Email Address

Organisation name

Organisation’s description in at least 200 words/5 sentences (main aim, region, religion, activities, etc.)

Chair / President / Director (Please circle) Or other: Chair / President / Director (Please circle) Or other: Chair President Director Other

If Other please state here

Organisation public phone number

Organisation’s main email(s)

Organisation’s website

Facebook page and account name

Twitter page and account name

Any other social media page(s) and account name(s)

Organisation’s venue

Organisation’s postal address

Newsletter Newsletter Please tick this box if you want to receive the SMEF’s monthly newsletter. If you tick this box, we’ll be able to share the group/organisation events and news as well with other communities!

When the organisation was founded? Review of the organization Please note that the information below about the organisation will be kept confidential and only be used for us to review the member group’s health.

Does the group or organisation have a formal constitution? * Does the group or organisation have a formal constitution? * Yes No

Is it a registered charity? Is it a registered charity? Yes No

what is the charity number?

Is it a limited company? Is it a limited company? Yes No

If none of above, please specify

Does the group or organisation have a board or management committee? Does the group or organisation have a board or management committee? Yes No

How many members are there on the Committee?

Who are the Office Bearers: Please give Name, Phone No, Email for the following roles - Chair, Vice Chair, Treasurer, Secretary, Other role.

Does the group or organisation have audited accounts? Does the group or organisation have audited accounts? Yes No

Does the group or organisation have any promotional material? Does the group or organisation have any promotional material? Yes No

Does the group or organisation have paid workers? Does the group or organisation have paid workers? Yes No

If yes, how many full-time workers?

If yes, how many part time workers?

Have volunteers? Have volunteers? Yes No

Approximately how many volunteers?

Do you employ/pay any of the following staff? A Finance Person/ Accountant / Bookkeeper Do you employ/pay any of the following staff? A Finance Person/ Accountant / Bookkeeper Yes No

Is the group or organisation based: In a building owned by the organisation? Is the group or organisation based: In a building owned by the organisation? Yes No

Is the group or organisation based: In a building rented by the organisation? Is the group or organisation based: In a building rented by the organisation? Yes No

Is the group or organisation based: Within a member’s own home? Is the group or organisation based: Within a member’s own home? Yes No

Is the group or organisation based: In other location Is the group or organisation based: In other location Yes No

Please specify

Do you pay rent at commercial rates? Do you pay rent at commercial rates? Yes No

or is the rent subsidised? or is the rent subsidised? Yes No

Does the group or organisation meet regularly? Does the group or organisation meet regularly? Yes No

which days of the week/month, timing, etc.

What kind or activities do the group have? Please list a few most common activities (e.g. sport, cultural, educational, etc.) Please add any details.

Please tell us anything about the group or organisation which can SMEF help to better understand and improve/develop it.

Surrey Minority Ethnic Forum aims to provide an effective voice for multi-ethnic groups across Surrey. What areas would the group/organisation particularly like representation in? Surrey Minority Ethnic Forum aims to provide an effective voice for multi-ethnic groups across Surrey. What areas would the group/organisation particularly like representation in? Health Education Housing Employment Social Services Race Issues Cultural Issues Community safety

Can you please let us know which of the following community safety topics you think the group/organisation would benefit? Can you please let us know which of the following community safety topics you think the group/organisation would benefit? People’s Assembly about any safety topic, please specify (e.g. hate crime, mental health, etc.) Safeguarding: domestic abuse and harmful traditional practices awareness session Safeguarding: drug and alcohol awareness session Safeguarding: online safety, child sexual exploitation awareness session Safeguarding: cybercrime, scam and fraud awareness session Thank you for completing this form!