Application Details

Contact Details

Request Received
Local Authority Access (Member Directory Only)
This is a Lifetime membership
This membership includes 10 member slot(s)

This application enables Local Authority commissioning and placement teams to access full provider details in the CHA Member Directory, which are otherwise only visible to CHA Members. This is NOT the same as full CHA membership. 


Local Authorities who operate their own provision are welcome to become full members of CHA. If your Local Authority is already a full member of the CHA but you don't yet have access yourself, your organisation's Primary Contact will be able to add you.

Membership Refund Policy

Please note we are unable to offer refunds for membership fees if you choose to terminate prior to your annual renewal.

Glue Up account creation information.

Please enter a first name
If you input more than 0 characters your First Name may not display properly

Please enter a last name
If you input more than 0 characters your Last Name may not display properly


・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)
If you input more than 0 characters your Password may not display properly


・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)
If you input more than 0 characters your Confirm password (at least 8 characters) may not display properly

Please fill in your individual information.

Please fill in the below form with your company details.

Local Authority Information
Please enter the name of the local authority you represent in the Company Name field below
Please enter a company name
Primary Contact Information

Nominate a Primary Contact within your Local Authority - this individual will be able to add/remove colleagues to ensure the right people have access to our CHA Member Directory.

If you input more than 0 characters your Please state the name of your primary contact within your organisation may not display properly

Please enter a valid phone number including country code
If you input more than 0 characters your Please state the phone number of your primary contact within your organisation may not display properly
Test Group
Please enter a value for the other option. The value cannot exceed 255 characters.
Please select an option

Consent

This checkbox is mandatory
This checkbox is mandatory
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