WCHLC New Project Entry

Information added by: 
Job Title: 
Please note that filling in this form does not guarantee that your project
will be accepted for this website database. In order to maintain quality,
all entries are assessed by the WCHLC Project Manager for suitability.
Profit-making organisations are not normally included unless they
provide a special need or offer charitable work.
Complementary Health projects are expected to be NHS approved
or members of the Complementary Health Initiative, in which case
they can be listed against their subject/activity.
Project Title:

Please use the Title which the project is commonly known as.

One Liner description of project (100 char):


Brief Description of project (255 char):


Who is the Project Manager?


What is his/her job title?


Address:
This information will appear in the website, but if you do not want any of
of these lines to appear simply advise us in the section at the bottom of
this form. We do need your details for our administration.


Town

County

Postcode

Fax No: 
Tel No: 
Email: 
Alt Email: 
Website: 

Categories:
Tick only the most important boxes that best relate to your project.
If you do not keep ticks to a minimum it will make a nonsense of the search
process and WCHLC will untick boxes for you.

Emotional Support: 
Parents, Carers and Children: 
Young People: 
Older People: 
Drugs & Alcohol: 
Disabilities General: 
Illness Support Groups: 
Stop Smoking: 
Healthy Eating/Nutrition: 
Fitness and Exercise: 
Family Planning: 
Financial Support: 
Ethnicity: 
Support for Men: 
Support for Women: 
Sexuality: 
Education and Learning: 
Employment Issues: 
Transport Issues: 
Housing and Homelessness: 
Home Health: 
NHS Services: 
Community Health & Promotion: 
Complementary Health: 

If you think we should have another category, that is not listed, tell us.
We won't necessarily add this as a category, but we will consider it next
time we update the website.


Please provide six main services offered by the project:
If you want to expand on these then use the Comments paragraphs later.

Service Offered 1:


Service Offered 2:


Service Offered 3:


Service Offered 4:


Service Offered 5:


Service Offered 6:


Coverage:
Now tell us the project's geography and age range coverage,
the genders catered for, and whether your project
is connected in any way with another organisation:

Geography: 

Age Range: 

Gender: 

Status/Affiliation: 

Further Comments:
The following is an opportunity to explain in three paragraphs
a little more about the project, or to add information that you could
not fit into the questionnaire:







Are there any comments you wish to make about this New Project Entry?
For example, does it replace an existing project that you run?
Has the project moved to a new address recently?
Does this project replace one or more projects on this site?
Have you provided any of this information just for our administration,
but not for publishing on the website?


    

If you have made a mistake, don't worry, just use the Update Project link to advise us.