Individual Membership Application

Compass Disability Network seeks like minded individuals who are willing to share their views and give opinions on subjects that effect access and inclusion for all disabled people in Somerset & North Somerset.

Please complete the form below to join the network.


In what format would you like to receive correspondence:
 
 
 
 
 
 
Are you a disabled person?
 
 
Are you a carer for a disabled person?
 
 
Are you ?
 
 
If you are a disabled person, which of the following impairments apply (tick all appropriate)
 
 
 
 
 
Which of these ethnics groups do you belong?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
How would you like to work with Compass Disability Network?
 
 
 
 
Which of the following areas do you have an interest? (Tick all appropriate)
 
 
 
 
 
 
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Your personal information will be held and used in accordance with the Data Protection Act 1998. The information you have provided will be used to contact you in association with Compass Disability Services’ activities only. It will not be used for any other purpose or shared with any other organisation. You can ask us to remove your details from our records at any time by writing to us with your full name and address or by emailing info@compassdisability.org.uk