Membership Form



Personal Statement

Please tell us in no more than 100 words why you wish to join the Coventry Recovery Community. Tell us your reasons for applying: what you would like to receive from the Coventry Recovery Community, what you would like to give (your strengths and experience) and what you would like the Coventry Recovery Community to be.

Important: Enter the code below. This is to prevent automatic submissions.


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Data Protection

When processing your data we comply with the data Protection Act 1998. We only use your personal data for the purpose of administering your membership of the Coventry Recovery Community. We will never pass on your details to third parties without your consent.

Please note: the directors reserve the right to refuse membership if the application is deemed inappropriate or could conceivably bring the community into disrepute.