Membership online form

Title (required)

Name (required)

Address (required)

Postcode (required)

Telephone (required)

Mobile (required)

Email (required)

 I wish to apply for full membership of S.W.C.F. and am happy to affirm the Statement of Faith above.

OR

 I wish to apply for Associate Membership.

 Please tick to confirm you are happy with the information above.

Date:

Please tick appropriate boxes in each column

Employment Role

 Practitioner 1st Line Consultant Trainer Counselling Student Retired

Employment Area

 Social Services Health Trainer Education Voluntary Independent Retired Unwaged Student Criminal Justice Community

Specialism

 Child/Families Older People Mental Health Disability Learning Difficulties Specialist Healthcare

IF Student, please state training institution:

Year of expected completion:

HOW DID YOU HEAR ABOUT SWCF?

 I am a taxpayer and wish SWCF to reclaim tax through Gift Aid on any subscriptions and donations I make until I advise you that I no longer pay tax.

Suggested Membership and Donations:

You can now use Paypal to send your donations

  £5 per Month

 

  £10 per Month

 

  £15 per Year

 

  £5 per Year