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).