Application form to become a School and College Member of the Anti-Bullying Alliance

School or College details

School/College Name

Address

City

Postcode

Region

Country

School/College Email

School/College Website

School/College Telephone

School/College categories (please choose all that apply)

Hold down the CTRL key to select more than one option.

Membership Type

Application Status

SMG

Type

Contact information

Main contact

This will be the main contact for your membership.

You will have the option to enter different billing details in the next step, if required.

First Name

Surname

Job title

Additional beneficiaries

You can add up to 2 additional colleagues to receive membership benefits.

Beneficiary First Name (required)

Beneficiary Surname (required)

Beneficiary Email (required)

Beneficiary Job Title

Your application

1. Briefly describe the nature, aims and objectives of your work/organisation

2. Briefly describe the ways in which your work/organisation demonstrates a commitment to creating safe environments in which children and young people can grow, play and learn

Areas that you deliver in:

Please select all that apply; select multiple options by holding down the CTRL key.

I/my organisation would like to join ABA’s additional groups and mailing lists for Wales and/or Northern Ireland:

Wales mailing list

Northern Ireland mailing list

I confirm that I/my organisation fully supports the aims and values of the Anti-Bullying Alliance

Contact Information