International Membership

Organisation Name*

Type of organisation*

Organisation Address*

Organisation Website*

Is your organisation affiliated to any other organisation? Y/N. If Yes, please provide details:

Brief description of your Helpline service and your target audience*

Main reason for wishing to join Helplines Partnership:*

What benefits would you like to see as a member of Helplines Partnership?*

How many trained helpline staff do you have, including volunteers?*

Applicant Name and Job Title*

Applicant Contact Number*

Applicant Email*

Will you be the main contact for your membership – Y/N*

Yes

No

If No, please provide details of the Primary Contact and Job Title*

Primary Contact Number*

Primary Contact Email*

Finance Contact*

Finance Contact Email*

PR & Marketing Contact*

PR & Marketing Email*

Will we be required to quote a PO number on invoices? Y / N*

Is there a separate billing address? Y/N*

If Yes, please provide address

Name of helpline

To be added to our Find a Helpline directory, please provide details below

When did your helpline start operating?

Helpline opening hours

Which geographic area does your helpline cover?

If applicable please select accessiblity options available on your Helpline*

Minicom

TextPhone

Text Relay

Do you have a quality standard or other accreditation for your helpline?*

How did you hear about us?*

Website

Newsletter

Recommendation (please provide details as the organisation will be entitled to an introductory discount

Social Media

Other

POLICIES: To be eligible for membership you are required to evidence your organisational Privacy Notice, Confidentiality, Safeguarding and Feedback Policies. Please ensure the above policies, documents or links to them are accessible on yo

PAYMENT DETAILS: Once membership is approved, an invoice will be submitted to the contact lead via email. The invoice is due on presentation.

Terms and Conditions*

Submission of this application form confirms you have read and agree to the Helplines Partnership Membership Terms and Conditions.

Date*

International Membership

International Membership Application Form