East Dorset Mental Health Carers Forum
East Dorset Mental Health Carers’ Forum website
 East Dorset Mental Health Carers Forum Survey
Membership Form


Title

Forname

Surname

Address


Postcode

Phone

Email

(NB. Your e-mail address will only be used to circulate the quarterly newsletter and Forum correspondence; we will not forward your e-mail address to anyone else without your permission).

Membership Options

To comply with the requirements of the Data Protection Act 1998 and ensure we only keep and use your details with your permission, please complete the following statements:

I agree that the contact details, as given above may be entered on the Forum’s database to receive Forum communications


I agree that the contact details as given above may be passed to voluntary and statutory organisations that the Forum considers are of benefit to us


RECORDING OF ETHNIC GROUP

The East Dorset Mental Health Carers’ Forum in line with other organisations collects information about the ethnic group of mental health carers. This information can help us plan to meet the needs of carers and ensure that everyone has equal access to the mental health services provided in the area we cover. Please note we are not asking about citizenship or nationality, but about the ethnic group to which you feel you belong. All the information we receive will be used and treated with the strictest confidence. Any planning information on general release will be anonymous with all names removed.

The classification is entirely voluntary but will help us to provide a better service. If you have any queries about completing this form, please ask a member of the staff (telephone: 01202 481730). Otherwise, please complete the form below by selecting the box of the ethnic group you feel you belong to. If you feel you are descended from more than one group, please select the one you feel you most belong to, or choose the ‘Any other ethnic group’ option.



Membership details of the East Dorset Mental Health Carers’ Forum

In 1998, the East Dorset Mental Health Carers’ Forum was first formed out of a meeting at St Ann’s Hospital, which identified the need for an independent Mental Health Carers’ Forum in the East Dorset area. The idea of the Forum is to raise the needs and concerns of Mental Health Carers in Bournemouth, Poole and South and East Dorset areas and represent those views at relevant meetings with the statutory authorities. In August 2003, we secured a three-year Community Fund grant that has enabled us to employ a full time Project Development Worker, Peter Atkins and a part-time Administrator, Helen Harman. At present, we have 2 paid workers as well as 7 Committee members and 238 members on our mailing list. We are continually looking at expanding our Committee membership as well as our normal membership and Associate membership. As part of our development, we achieved charitable status in September 2004.

Membership of the Forum
…is FREE! Members will be informed of meetings and relevant events taking place in and around the South and East Dorset, Bournemouth and Poole area.

Types of Membership

Full Membership: Open to any Mental Health Carer in the Bournemouth, Poole and South and East Dorset area. Part of the registration process is to agree to be on our Mailing List and you have full voting rights at our AGM.

Committee/Trustee Membership: Will be voted in at our Annual General Meeting. Need to be nominated by two Full Members and can be co-opted as well.

Associate Membership: Open to anyone interested in Mental Health in our area of operation. Members will be entitled to take part in our AGM but have no voting rights.