Membership Application Form Survey

1.Surname(Required.)

2.Forename(s)(Required.)

3.Title(Required.)

4.Post-nominals

5.Address(Required.)

Address 1

Address 2

City/Town

County

Post code

Country

Email Address

Phone Number

6.Date of Birth(Required.)

Please select

Date

SuSunday

MoMonday

TuTuesday

WeWednesday

ThThursday

FrFriday

SaSaturday

7.Marital status (optional)

8.Professional details(Required.)

Profession

Position (current or most recent)

Company (current or most recent)

9.Proposer (if none, type N/A)(Required.)

10.Seconder (if none, type N/A)(Required.)

11.School / University(Required.)

13.Other hobbies / interests

14.Membership of other Clubs

15.Membership qualification(Required.)

(a) - Born in Scotland

(b) - Direct Scottish descent (via Parent / Grandparent, or being the child of a Member)

(c) - Married or in Civil Partnership with a Scot

(d) - Educated in Scotland

(e) - Scottish Landowner

(f) - Lived in Scotland for more than 5 years

(g) - Worked in Scotland or employed by a Scottish company/business

(h) - Role in Scottish public life ie armed services, government, charitable bodies

(i) - Association / Empathy with Scotland and its culture

16.If (b) was selected, please confirm your descent

Parent/s born in Scotland

Grandparent/s born in Scotland

I am the child of a member

None of the above; in which case please change membership qualification from (b) Scottish descent to (unless another criteria is more suitable) (i) Empathy with Scotland

17.If (i) was selected, please describe Association / Empathy with Scotland*
(*This qualification is robustly scrutinised by the Membership Committee, so please ensure a full account of your Scottish empathy here)

18.Please tell us your reasons for wishing to join The Caledonian Club(Required.)

19.How did you hear about The Caledonian Club?(Required.)

From a Member

Online / Website

Word of Mouth

Other (please specify)

20.GDPR regulations: To comply with the above regulation (GDPR) we must obtain your permission to hold your personal data on file while you are in membership of The Caledonian Club. The data you have supplied in your application form and any subsequent forms will only ever be used by the Club to contact you regarding matters of the Club and will in no instance be passed or sold on.

Should your application be successful, in the event of you leaving the Club your details will be kept for a period of six years after which time these will be destroyed unless you have indicated, that for historical purposes, you agree to your details being kept securely for a longer period of time.(Required.)

I hereby give permission for the Caledonian Club to contact me using any reasonable means during my time in membership.

I agree to the use of any images of myself being used by the Club for Club literature only when taken at an event at (or connected to) the Club.

I agree that in the event of leaving the Club my information may be held by the Club for a period longer than 6 years but no more than 50 years for historical purposes.

21.Declaration(Required.)

I declare that the above information is correct and, in the event of my election to Membership, undertake to abide by the Rules and Bye-Laws of the Club, present and future, during the term of my Membership.

22.Date(Required.)