Section 1 of 5: About you and your group
About your group
If you do not have a premises address you should use the nearest public postcode. Do not use a residential or personal postcode since this will appear on a public map
Add links to any social media channels your group has below
Un-constituted Group Constituted Group Community Interest Company Company Ltd by guarantee Company Ltd by Shares Charity Charitable Incorporated Organisation Community Benefit Society Cooperative Society Other (please specify)
Below £10,000 £10,000 - £25,000 £25,000 - £100,000 £100,000 - £500,000 £500,000 - £1 million £1 million - £5 million Over £5 million
Which statement best describes your income?
Most of our income is earned from trading or contracts We have a mix of earned and grant income Most of our income is from grants
Do you own any land or buildings?
If yes, please briefly describe. Also, please give the approximate current value of your organisation’s Assets (financial and Capital Assets such as buildings and land owned)?
Do you lease any land or buildings?
If yes, please briefly describe. Also, please give the approximate current value of your organisation’s Assets (financial and Capital Assets such as buildings and land owned)?
Section 2 of 5: About Your Sector/s Select the sector/s that your organisation works in (tick all that apply)
Please describe how the local community is able to be involved in the running of your organisation? For example, are there steering groups, committees, a membership, beneficiary panels or meetings?
Section 3 of 5: Your Community Please select the sentence that best describes you
We work with and support anyone from our local population. We will work with and support anyone from our local population but mainly support people from specific communities of interest. We exclusively work with and support people from specific communities of interest.
If B or C, please select the communities of interest you work with and support
Racially minoritised communities Rural Communities Welsh Language speakers People with disabilities People with neurodiversities Young People Older People Gender specific groups LQBTQIA+ specific groups Offenders and ex-offenders People experiencing poverty Unemployed/economically inactive people Other (please describe)
What proportion of your leadership team (i.e. your senior managers, management committee, board, governing body or council) come from communities that are racially minoritised?
0 – 25% 25 – 50% 50% +
Regardless of your answers to the previous two questions, does the makeup of your leadership team generally reflect your local population in terms of ethnic background?
Section 4 of 5: Eligibility In order to become a member of DTA Wales you must meet our eligibility criteria.
Is your organisation not-for-private-profit?
Section 5 of 5: Declaration How did you find out about DTA Wales?
Internet search/website Social media Via the DTA Wales newsletter Another DTA Wales member Attended a DTA Wales event Word of mouth Other
I confirm that the information provided above is correct to the best of my knowledge, and that I am authorised to provide it on behalf of the named organisation.
Sorry you haven't met all the eligibility criteria in the Eligibility section.
Please check you have answered all the below questions correctly:
- Your organisation should be a not-for-private-profit
- Your organisation should benefit your local community
- You have to agree with and work in line with your values
