Initial contact form First Name: * Last Name: * Telephone: * Email: * Name of community co-operative, group or project: * Name of settlement in which your community co-operative will be based e.g. Woodstock * County in which your community co-operative will be based e.g. Oxfordshire * Postcode of the community co-operative e.g. OX20 1LH (if this is not yet known, please provide another representing the proposed location - this might be your postcode if you’re a local resident): * Please state the country if you are outside of the UK or the Republic of Ireland: Please select... Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic (CAR) Chad Chile China Colombia Comoros Democratic Republic of the Congo Republic of the Congo Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia (FYROM) Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates (UAE) United Kingdom (UK) United States of America (USA) Uruguay Uzbekistan Vanuatu Vatican City (Holy See) Venezuela Vietnam Yemen Zambia Zimbabwe Please describe your idea for a community co-operative and include the name of your community co-operative if applicable: * What are the issues that you hope your co-operative will address? Who will be the main beneficiaries of your community co-operative? People with physical disabilities People with mental health problems Unemployed people People seeking training opportunities People on low incomes Younger people Older people Other (please specify) Other beneficiaries: How did you hear about us? * Please select... Open door event Roadshow event National Conference Pioneer Tour events Other event Radio TV Newspaper (local) Newspaper (national) Signposted via adviser Signposted via other organisation Social media Online Parish council Local Authority Making Local Woods Work Word of mouth What is the best time and method for contacting you? * Need assistance with this form?