Youth Access

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Application Form

Please read the Youth Access Values and Core Principles before applying for membership:
members must agree to support and abide by these principles to be eligible for membership.

How to apply

You can submit your completed form to Youth Access by clicking "send" at the foot of the form. Or if you prefer you can print off the form, complete a hard copy and post to our office address, or fax to 020 8772 9746.

When will membership start?

Membership runs through to April 1st of the following year, and will commence on the date your application is processed. You should expect to receive your welcome pack within 14 days.

How much does membership cost?

Your membership fee is based on which month of the year you join us, how many full time equivalent staff at your agency, whether you would like to be a full organisational member or if you would like to join as an individual.
Go to our membership fee calculator
Get in touch by email or phone 0208 8772 9900 if you have any questions about membership.

Confidentiality and communicating with you

All information entered below is treated confidentially: as part of membership we will contact you by email and in writing with details of Youth Access training and other benefits: individuals can opt in or out of these communications at any time.


Field name* denotes a compulsory field.


Organisation Details



 

Phone numbers must contain no more than one space and a maximum of 14 characters






Membership Category*





Please supply details of any colleagues within your organisation who would like to receive monthly e-bulletins:


Additional Details 1:



Additional Details 2:



Additional Details 3:



Additional Details 4:



Payment:

Membership Fee Calculator (pops up in new window)

Pay Online (please remember to return to this page to complete application form)




Other information:



Youth Access training

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Read more about Youth Access' specialist counselling and advice training.