Advice Questionnaire

THIS SERVICE IS ONLY AVAILABLE FOR GROUPS THAT OPERATE IN CHESTERFIELD AND/OR NORTH EAST DERBYSHIRE

Your Contact Details

First Name

Last Name

Address

Address Line 2

City

Postal Code

Email

Phone Number

Job Title

About your organisation

Select an existing Organisation or create a new one if not found

Organization Name

Organisation Status

Community Group

Registered Charity

Company Limited by Guarantee

Charitable Incorporated Organisation

Community Interest Company

Organisation Status Other

Charity No./Company No. (if applicable)

Does your organisation have a constitution or governing document?

Yes

No

Does your organisation have a committee?

Yes

No

Number of Committee Members (if applicable)

When was your organisation established? (If you are unsure of the exact date please enter the year)

Does your organisation have a bank account?

Yes

No

Advice Details

What do you want advice about?

What is the purpose of you seeking this advice?

Which geographical areas will it cover?

Have you done any work on this issue already or sought advice from anywhere else?