Integration Lincolnshire

Forms

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Forms downloadable in Word format from Documents page

EXAMPLE FORM 1

MEMBERS REGISTRATION FORM
(Please complete details in block capitals)

_________________________ has offered to represent your organisation as a *Member/Director of Integration Lincolnshire. Integration Lincolnshire is made up of representatives from organisations in the private, voluntary, statutory, community and faith sectors and formally constituted as a company limited by guarantee. The Mission Statement of this body is as follows:

Integration Lincolnshire is a vehicle for co-operation between agencies to promote the delivery of integrated services supporting diverse cultures within communities across Lincolnshire.

In order to ensure that all Members and Directors of Integration Lincolnshire are properly and legitimately representing their organisations we are asking, where appropriate, for an endorsement by signature of the relevant senior officer of that organisation.

Please return this form to the Company Secretary whose contact details appear below. The Company Secretary will also be able to provide you with any further information about the status, structure and activity of the organisation.

Member Organisation ____________________________________________

Representative Contact Address ____________________________________
______________________________________________________________
______________________________________________________________
Email ______________________________ Tel ________________________
Mobile _____________________________ Fax ________________________

Signed:

Name:

Position in Member Organisation:

Date:

*(delete as appropriate)

EXAMPLE FORM 2

INTEGRATION LINCOLNSHIRE MEMBERS INFORMATION
NEW PROJECT DEVELOPMENT SUMMARY

Your Organisation Name:

Date Referred to IL:

Key Contact Name:

Telephone/Mobile:

Email Address:

Brief Summary of Project Proposal:
(150 words max)

How does this project link with the services other Members provide?

Total Funding Needed

Funding Secured

Additional Funding Sought

How can Integration Lincolnshire support this proposal?