Additional Activities Member Organisation Existing Contact Organisation Name Please tell us about any other activity or service that your group delivers e.g. a community centre that delivers a range of activities on different days, will need to fill one in per activity. Activity 1 Name of Activity What types of services do you deliver? Arts, heritage and culture (including museums, parks, historic places, music; oral history; and raising cultural awareness) Wellbeing, Health & Social Care (e.g. medical, sickness, disability, mental health, substance use) Campaigning and Lobbying Other charitable, social or community purpose Education, training and research (including lifelong and adult learning) Accommodation and housing (including tenants and residents groups) Physical Activity, Sport and Leisure (including competitive and recreational activities) Criminal Justice Economic well-being (including employment, economic development, debt advice, poverty relief) Community development (including work with communities to tackle inequalities and disadvantage) Religious and faith based activity Equalities and civil rights (e.g. sex, race, disability, age) (please identify which protected characteristics) International development (e.g. overseas aid, disaster relief) Animal Welfare Rights Travel & Transport (e.g. Community Transports, Active Travel) Capacity building and other support for voluntary or community organisations (including volunteers) Support and services for social enterprises and social entrepreneurs Environment and sustainability Who are the main clients /users/beneficiaries of your service? e.g. If you run a youth club for children aged 6-12 then tick Children 6-12. If your activity / service is open to everyone, please don't tick anything. Everyone (i.e all of the groups below) Ethnicity (please identify which from the drop down) Carers Faith communities (please identify which ones from the drop down) Families and lone parents Gay, lesbian, bisexual and transgender people Looked after children (e.g. in care, foster care) Men Older people People with mental health problems People with learning disabilities People with long term health conditions Disabled people Refugees and people seeking asylum Tenants and residents Veterans Victims of crime and their families Women Children and young adults (please specify which one from the drop down) People facing multiple disadvantage (please specify which one from the drop down) Recent migrants to the UK Please describe what your activity is and who it is for? For example – lunch club for over 50’s in Mossley, or series of jewellery making classes for people over 70 living in Dobcross. Where Activity 1 takes place Share address with member organisation Yes Address Line 1 Address Line 2 Address Line 3 Town Post Code Country United Kingdom Is there a cost to this activity? If so how much? Free £1 - £3 £3 - £5 £5 - £10 £10 - £15 £15 - £20 More then £20 What day(s) of the week does this activity take place? Monday Tuesday Wednesday Thursday Friday Saturday Sunday Time Frequency Weekly Fortnightly Monthly Is the service accessible for disabled people Yes No Is the service accessible for people with language needs? Yes No Contact person for activity 1 Contact for Further details Phone Number Email Please confirm, are you happy for this service to be included in the online service directory of groups? Yes No Please confirm if you would like the address of your activity to be made public in our online service directory. Yes No Please confirm if you would like the telephone number of your activity to be made public in our online service directory. Yes No Relationship to Membership Contact Relationship Type(s) Employer of Volunteer is Case Coordinator is Case Coordinator Main Contact is Contact is Grant Contact is Membership Contact is Oldham Community Development Worker Case Partnership with Case Partner is Leave this field blank