Membership Application Form | North Lanarkshire Disability Forum

Please fill in and submit the following form to apply for Associate or Supporter Membership.

Associate Membership

If you are a disabled person you can join NLDF as an Associate Member. This includes if you are a person with physical or sensory impairments, have a mental health condition, have learning difficulties, have a cognitive impairment, have an autism spectrum disorder, are from the Deaf community or have problems with addiction.

Supporter

If you are a non-disabled person you can join North Lanarkshire Disability Forum (NLDF) as a Supporter. Any individual who agrees with our values and supports our work is welcome to become a Supporter.

Type of Membership (please check one) Type of Membership (please check one) Associate Supporter

Name

Address

Telephone Number

Email Address

Any accessibility issues we may need to know about?

I agree/disagree for NLDF to share my information where appropriate and with my prior knowledge. I understand these details will be kept on file for as long as the work is being carried out and is used and stored in a way that meets the *Data Protection Act 2018. I agree/disagree for NLDF to share my information where appropriate and with my prior knowledge. I understand these details will be kept on file for as long as the work is being carried out and is used and stored in a way that meets the *Data Protection Act 2018. I Agree I Disagree

I agree/disagree for my information to be kept on the NLDF contact database to NLDF staff to use for analysis and reporting purposes, this will not be shared unless for agreed referral purposes. I agree/disagree for my information to be kept on the NLDF contact database to NLDF staff to use for analysis and reporting purposes, this will not be shared unless for agreed referral purposes. I Agree I Disagree

* The Data Protection Act 2018 is the UK’s implementation of the General Data Protection Regulation (GDPR). Everyone responsible for using personal data has to follow strict rules called ‘data protection principles’. They must make sure the information is: used fairly, lawfully and transparently.