Rhondda LGBT Support Network

• Home
• About us
• Join us
• News
• Links
• Contact us

• The Constitution
• Code of Practise for Members
• Equal Opportunities Policy

• Take the
  Social Events Survey

Call Us07596 380 593

Join us

Membership Application Form

The information that you provide will be in complete confidence and NOT passed to any other agency without your permission. You can either download the form to print, fill out and post to us; or you can fill it out online below.

Download the application form

• Membership Application Form (PDF)

You will need Adobe Reader installed to view the PDF application form.

Please print and post to the following address:

Rhondda L.G.B.T. Support Network c/o
The Valleys Regional Equality Council
Navigation Parc
Abercynon
CF45 4SN

Alternatively, you can fill the form out online below…

---

Online Application Form

Full name:
Date of birth:	dd/mm/yyyy
Address:
Postcode:
Telephone:
Email:
Gender:	Male Female Transgendered Prefer not to say
Ethnic origin:
Sexual orientation:	Lesbian Gay Bisexual Other
If Other, please specify:
Employment status:	Employed Self Employed Other
If Other, please specify:
If you are Self Employed, would you be interested in receiving information about the Gay Business Network?	Yes No
Occupation:
Would you agree for information to be passed to other partnership/non-partnership/support agencies, if it was deemed necessary to assist the Network and yourself?	Yes No
I am happy for you to pass my information on to the following organisations:	Cwm Taf NHS Trust South Wales Police Rhondda Housing Association RCT Homes VALREC Gay Business Network
Please supply any further relevant information that will support your application for membership:
	Please enter the above code: