Application to Register with MAITS

Name of Organisation: *

Details of person completing the application on behalf of organisation

Surname (BLOCK CAPITALS): *

Forenames: *

Title: *

Contact details

Contact Address: *

Telephone Number: *

Email Address: *

Organisation website:

How did you hear about MAITS?: *

Please provide a description of your organisation: *

Include information on the following: mission statement or objectives of the organisation. Services / programmes provided.

Please identify how you think registering with MAITS could benefit your organisation: *

Please outline any expectations you have from MAITS: *

Include details for a bespoke volunteer programme if you would like us to create one for your organisation

If you are seeking funding for a specific project / partnership, please give details including the following:: *

Proposed aims and objectives of the partnership. Details of other organisations you may be linking with.

First Referee

Please provide details of first referee who can verify the aims of your organisation.

Name: *

Address: *

Telephone Number: *

Email Address: *

Second Referee

Please provide details of second referee who can verify the aims of your organisation

Name: *

Address: *

Telephone Number: *

Email Address: *

Please give any other relevant information you wish to provide: *

Please click Yes below to confirm that you have completed this application to the best of your knowledge

Confirm: *

Yes