* Organisation Name * Address * Town * Postcode * Telephone * Email Website Link http:// Geographical area (e.g. Kirkstall, Headingley, Otley etc.) Directions (i.e. how to get there; bus no's)

Insurance

All organisations must have appropriate insurance cover for all activities undertaken by volunteers, including those working off-site. Which of the listed levels of insurance cover does your organisation have?

Appropriate motor insurance
Employer liability
Member to member
Personal accident
Professional indemnity
Public liability
Third Party
Other (give details)

Organisation Contact

* First Name * Last Name Job Title Address (if different from above) Town Postcode Telephone (if different from above)

The following information will be provided to prospective volunteers

* Organisation Mission Statement (300 limit)

* Organisation Activities (300 limit) (i.e. an outline of your organisations work, not volunteering roles)