Register for a ValueYou volunteer discount form (Ealing Borough)
If you have volunteered 100 hours in the last 12 months in the borough of Ealing you can use this online form to apply for a ValueYou discount card. We also have paper forms and forms that can be emailed if you are unable to use this form (email contactus@valueyou.org) or call 07926 164 827.

Complete the details required below and we will send you your discount card and voucher code.

Required fields are marked with an asterix. Other fields help us monitor who is using ValueYou.

IMPORTANT: You can only use this form if you have the email address of your volunteer manager as they will be emailed as part of our checking processes.

FULL NAME (In CAPITAL letters) *
Your answer
Address (first line) *
Your answer
Address (second line)
Your answer
City/ Town *
Your answer
Postcode *
Your answer
Date of Birth
MM
/
DD
/
YYYY
Your email address
Your answer
Your telephone number (optional)
Your answer
The organisation you volunteer for *
Your answer
Type of organisation *
If you volunteer for a registered charity please provide the charity number. If you selected 'other' above, please enter the eligibility code you've been given
Your answer
Please tick to confirm you have completed 100 hours of volunteering in Ealing Borough in the last 12 months. (If you've done 100 hours over longer than 12 months you'll be able to get a certificate but not a ValueYou card)
Name of your volunteer manager/ supervisor *
Your answer
Email address of your volunteer manager/supervisor. (This should be a professional email address, e.g. person@nameofcharity.org) *
Your answer
If you don't want a certificate and would just like the ValueYou card, tick here
How did you hear about ValueYou? (tick all that apply)
As you are registering with us, we will keep the details you provided in our records. We will never sell or give your information to anyone else not helping us directly to run the scheme. We will also provide you with ongoing information about the scheme via email. If you don’t want this information, you can unsubscribe. If you want to de-register from the scheme or if your membership expires, we will delete your data. You can view our full privacy notice online here http://www.valueyou.org/privacy-notice
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service