Membership Form

	*Membership Form*

CARBERY HOUSING ASSOCIATION LTD.

APPLICATION FOR/ RENEWAL OF MEMBERSHIP

Carbery Housing Association is a registered non-profit company approved by the Department of Environment and Local Government for the development and provision of social housing. CHA intends to operate throughout County Cork.

The core objectives of Carbery Housing Association are:

The development of affordable rented homes for persons on the Council housing list and others in housing need,

The development of low-cost ownership and shared-ownership homes for households not able to purchase commercially;

The provision of housing management, maintenance and other forms of social support where needed.

The development of complementary community facilities and workspace.

Setting up of training and employment in construction, particularly for young people, based on the Association’s building, management and community development activities.

Membership is open to tenants and prospective tenants of the Association, as well as to members of the public who support and wish to help achieve the objectives of the Association. Members are expected to actively participate in the activities of the Association, including membership of the Executive Committee.

Annual Membership fee is payable yearly and run from January to January (first payment due on joining).

Membership Fee for 2003:

Unemployed/unwaged: 5 Euro per year

Employed/Self-Employed: 10 Euro per year

MEMBERSHIP CRITERIA:

	Be a tenant or prospective tenant of Carbery Housing Association
	Be resident in the areas covered by the Association.
	Support the Aims and Objectives of Carbery Housing Association
	Contribute to discussions and activities developed by the Association

All Membership applications and renewals are subject to approval by the Executive Committee of the Association.

APPLICATION FORM 2003-2004

PLEASE COMPLETE FULLY IN CAPITAL LETTERS AND RETURN ASAP. YOUR APPLICATION WILL BE CONSIDERED AT THE NEXT EXECUTIVE COMMITTEE MEETING.

Name:

Address:

Phone: Fax: E-mail:

(Delete as appropriate)

	I am a tenant or prospective tenant of CHA YES/NO
	I am resident in West Cork YES/NO
	I support the aims and objectives of CHA YES/NO

Other reasons for joining (please state)

……………………………………………………………………….……………………………………

……………………………………………………………………………………………………………..

Fee enclosed (should be included with application):

Unwaged/unemployed: 5 Euro per year ………..

Employed/Self-Employed 10 Euro per year ………..

Signed: ……………………………………………………………………………….

Send to Susan Kirwan, Membership Secretary, Carbery Housing Association, c/o WCBS, 37 North Street, Skibbereen Co. Cork. Tel: 028-21890 Fax 028 21897 -mail: carberyha@iol.ie