APPLICATION FORM
MANAGEMENT DEVELOPMENT NETWORK
Independent
Specialists
in Management, Governance and Organisational Development
with Voluntary Organisations
Name:
Business name (if any):
Address:
Telephone:
Mobile:
Your landline will be treated as your main number and will be included with your details on the MDN website. Your mobile number will not be published unless you ask us to treat it as your main number, or if you ask us to publish your landline and mobile numbers.
Fax:
Email:
Website:
I heard about MDN via (name, organisation or publication) _________________.
Subscription
__ I enclose £30 annual subscription (payable
to Management Development Network).
Eligibility for membership
__ I confirm that I am independent of the organisations for which I work.
__ I confirm that I work primarily on a freelance/self-employed basis, or as a director of my own limited company, a senior partner in a partnership, or a member of a co-operative.
__ I confirm that the focus of my work is primarily on management, governance and organisational development.
__ I confirm that I work exclusively or primarily with voluntary
organisations (charities and other organisations whose governing document requires all surplus/profits to be used for the purposes of the organisation, rather than being distributed to members or others).
__ I confirm I have met all four of the above criteria for at least the past two years.
__
I enclose documentation illustrating the type of work I do and how long I have been doing it (my publicity material, CV, and/or other relevant information)
or
__
Details are on my website at __________________________________.
Please ensure your publicity, CV and/or website provide us with details of how long you have been freelance, the general nature of your consultancy/training, any specialisms, and the client group(s) with which you work. If necessary please provide additional information separately.
MDN uses its membership list to send newsletters and other relevant information to members. We do not give out our mailing list to other bodies, but members' names, contact details and other information provided by members is published on the MDN website, which means it is available even in countries which may not have adequate data protection legislation. Email addresses are entered on the website using a program that eliminates or at least reduces the risk of spamming.
__ I do not meet the criterion of having been doing this
work for at least two years.
Please send me a reminder about MDN in __________
(month/year)
Send this form plus
£30 (payable to Management Development Network)
and the required documentation to
MANAGEMENT
DEVELOPMENT NETWORK
c/o 39 Gabriel House, 10 Odessa Street, London SE16 7HQ
For further
information contact MDN at the address above or
tel 020 7232 0726
fax 020 7237 8117
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