Registration Form

Contact Details

Note: Information you have provided (except for personal contact information) will be held in an online database which can be accessed by general public on the CiNI website.

Organisation Details:

Please give a brief description/ aims of the advocacy services provided by your organistion:

Type of Organisation/Age Groups

Type of Organisation:

Age Range:

Model of Advocacy/Themes of Advocacy

What model of Advocacy do you work under? [Please tick which applies]:

Which theme of Advocacy does your project/ organisation work under? [Please tick which applies] :

Ref: (Principles and Standards in Independent Advocacy organisations and groups, Advocacy 2000)

Services Provided

How would you categorise the Advocacy Services you provide? [Please tick all appropriate boxes)

Geographical Location

Please tick below the geographical areas covered by your service:

Please tick all relevant areas below:

By selecting an area above assumes that your service is available to that entire area.

Other Geography (If your organisation covers a geography lower than the geographical areas listed, please list the areas covered below (town/ villages/wards)