LLDC Membership Application

Name of Organisation *
Name of contact *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Telephone number *
Email *
Please choose your membership level *
Full Membership - Open to not for profit organisations Associate Organisational Membership - Open for profit organisations Associate Individual Membership
Full Membership

Full membership involves a commitment to further the work of the LLDC by:
Promoting partnership working between members: Sharing information and good practice; Cascading information within member organisations; Contributing time and resources to the work of the LLDC; Taking on representative roles.

Benefits include: sector representation, consultation via email/briefings posted on the web site; regular monthly meetings & access to the following services:

Advertising your services on the LLDC web site; Newsletters / e-mail briefings; member rates on LLDC Courses/seminars; Involvement in projects and research. Once your application has been received and membership approved, we will contact you to discuss payment.

LLDC operates a graduated membership fee for full members based on their Lancashire footprint based on next million of turnover.

The fee for the year has been set at £200 on next million turnover. For example a turnover in Lancashire of £850,000 would attract a fee of £200 where a turnover of £1,780,000 would attract a fee of £400. There is also a £1.00 charge, this will purchase one share in the Consortium.
Company Number
Charity Number
In which Partnership Areas do you provide support to people with learning disabilities?
East Lancashire Central Lancashire North Lancashire / Fylde / Wyre Blackpool Blackburn with Darwen
Mission Statement: If you have a Mission Statement, please include this here...
Company / Charity Brochure: If you have a Company or Charity Brochure, please upload here. Max file size 10mb.

Attach Files
Are you committed to the continued development of quality support services which enable people with learning disabilities to take control of their lives?
Yes No
Do you provide services that support people with learning disabilities in a Person Centred way that promotes rights, develops opportunities, respects choice and supports inclusion and independence? *
Yes No
Do you provide or intend to provide support services in ordinary community settings and where accommodation, in ordinary, domestic size properties?
Yes No
Associate Organisational Membership

The LLDC will provide Associate Members with sector representation on your issues, consult with you via email/briefings posted on the web site & you may access the following services:

• Advertise your services on the LLDC web-site
• Receive newsletters/e-mail briefings
• Access LLDC Courses/seminars
• Be invited to at least Bi-Annual meetings (AGM & Annual Planning Day)
• Be able to access projects and research

The membership fee is £25.00 for the year.
Company Number
Charity Number
In which Partnership Areas do you provide support to people with learning disabilities?
East Lancashire Central Lancashire North Lancashire / Fylde / Wyre Blackpool Blackburn with Darwen
Mission Statement: If you have a Mission Statement, please include this here...
Company / Charity Brochure: If you have a Company or Charity Brochure, please upload here. Max file size 10mb.

Attach Files
Are you committed to the continued development of quality support services which enable people with learning disabilities to take control of their lives?
Yes No
Do you provide services that support people with learning disabilities in a Person Centred way that promotes rights, develops opportunities, respects choice and supports inclusion and independence? *
Yes No
Do you provide or intend to provide support services in ordinary community settings and where accommodation, in ordinary, domestic size properties?
Yes No
Associate Individual Membership

The LLDC welcomes individual members (Associate Members) in order to widen our diversity of membership beyond voluntary sector providers. Individual members will have access to email/briefings posted on the web-site & you will have access the following services:

• Receive newsletters/e-mail briefings
• Access LLDC Courses/seminars (in some instances there may be a small charge)
• Be invited to at least Bi-Annual meetings
• Be able to access projects and research

The membership fee is £5.00 for the year
Please tick which best describes yourself.
Social Care Worker Parent / Carer Volunteer Advocate / Self Advocate Other
Are you currently active in Learning Disability sector, if so please explain briefly your involvement?
How did you become aware of the LLDC?
Are you committed to the continued development of quality support services
which enable people with learning disabilities to take control of their lives?
Yes No
Do you agree that people with learning disabilities must have control over their lives that is Person Centred, upholds their rights, develops opportunities, respects choice and supports inclusion and independence?

Yes No
Please specify below any other services you would be interested in the LLDC offering or issues you would like the LLDC to consider.

LLDC Membership Application

LLDC Membership Application

Full Membership

Associate Organisational Membership

Associate Individual Membership