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Getting Ready to fill in the Membership Form

The Membership Form could take up to 30 minutes to complete but do not worry!

If you don’t have up to 30 minutes to spare in one go, you can come back to the same form using the same devices and web browser.

Everything you have entered will still be there.

Be prepared by having the required documentation to hand:

– a photo of yourself as a Jpeg
– a copy of your current DBS check / evidence that you are registered with the online service
–  a scanned copy or save copy of your insurance document if you have insurance in place

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    Your Details

    To complete this process – you will need to provide the following details: a copy of your current DBS check / evidence that you are registered with the online service and insurance document copies (if any).

    It is essential that we have this information to be able to process your membership application. We will not be able to refer you unless we have your valid DBS information. See DBS online account guidance here.

    If you have a hardcopy:

    For Online service:

    The information you provide in the following section is mandatory for our purposes, but will of course only appear on our website if you have selected "Yes" to the above question.

    Please be aware, if you do choose to appear on the directory but do not answer the section below it will appear blank on your profile on our website directory so please fill out as much as you can.

    We will be asking you about your DBS status again, the information you provide here will feature on the website.

    The contact details you have provided at the top of the form will not be shown on the website. We will facilitate the referral and connections once someone has selected a Support Broker from our online Support Broker directory.

    The functions you provide as a Support Broker

    Please select "Yes" or "No" to the following questions.


    NBN Consent Form

    As a Member of Imagineer/Support Brokerage Network, it is important we ask you about your contact preferences and what information you want to receive.

    We need to ensure that you are happy with us keeping your details so that we can contact you with information about our activities and find out about what we are doing.

    To help Imagineer/Support Brokerage Network meet the data protection regulations we need to find out if you are happy for us to store your data – in accordance with GDPR.

    Please complete your details and contact preferences below.

    Subscribe to our mailing list?*

    To Opt Out In Future:

    You can opt-out of receiving information from Imagineer at any time by writing to or emailing Imagineer via email: / Post: Imagineer Development UK CIC, Sowerby Bridge Fire & Water, Sowerby Bridge HX6 2QG. Telephone: 07572322200.

    We take your data security seriously and will never sell or swap your details with third parties. You can withdraw your consent for Imagineer to store your data at any time by calling 07572322200 or emailing Information about how we protect and use your personal data is set out in our Data Protection Policy which we can send you a copy if you wish to see this.

    If you require having access to the personal information Imagineer has stored about you please could you request this in writing to Imagineer Development UK CIC, Sowerby Bridge Fire & Water, Sowerby Bridge HX6 2QG.

    If at any time we have made an error with your personal details – please tell us!
    We will then rectify the error on our systems – then inform you in writing.

    Once you have clicked 'Submit', please wait for the confirmation message to appear below, this could take a few seconds.
    Please don't click submit twice.

    Imagineer Training and Mentoring

    Graphic Facilitation Training

    Get Creative with our Graphic Facilitation Training! This is an online training course.

    > Find out more and book

    Support Brokerage Mentoring

    Group mentoring and individual sessions can be provided for peer support with other independent brokers from around the UK.

    > Find out more and book

    Support Brokerage Training

    The course is designed as a full programme which will give you all of the information, understanding and practical tools you need to be able to practice as an Support Broker.

    > Find out more and book
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