West Berkshire Council

Apply to Join the Community Panel

Share your opinion on issues of local importance

iCM Form
    1. Name
      1. Address Postcode
      1. Numbers, spaces, + , ( , and ) are all valid characters
    2. Are you? *
    3. What was your age on your last birthday?
    4. How many adults (18 or over) live in your household?
    5. How many children (0-17 years old) live in your household?
    6. Do you consider yourself to have a disability? *
    7. (A disability is defined as a physical or mental impairment that has a substantial and long-term effect on a person’s ability to carry out normal day to day activities).