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
) 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)
Address (first line)
Address (second line)
Date of Birth
Your email address
Your telephone number (optional)
The organisation you volunteer for
Type of organisation
Registered Charity (You'll need the charity number)
NHS Hospital or other NHS service
Park service (council)
Other e.g. small community organisation or social enterprise (you will need an eligibility code from your volunteer manager who can receive a code by contacting us)
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
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)
100 hours over the past 12 months
100 hours over more than 12 months
Name of your volunteer manager/ supervisor
Email address of your volunteer manager/supervisor. (This should be a professional email address, e.g.
If you don't want a certificate and would just like the ValueYou card, tick here
I do not want a certificate
How did you hear about ValueYou? (tick all that apply)
From your organisation/ volunteer manager
From your local volunteer centre
From promotional materials in our participating businesses
From ValueYou directly
From our leaflets
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
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