Essex Coronavirus Action - Voluntary Sector Organisation Signup
PLEASE READ THIS INFORMATION CAREFULLY. YOU WILL BE REQUIRED TO ELECTRONICALLY SIGN THE DECLARATION AT THE END OF THIS FORM TO SHOW THAT YOU HAVE READ AND UNDERSTOOD EVERYTHING IN THIS SECTION.

WE HAVE DESIGNED THIS FORM TO COVER AS MANY DIFFERENT ORGANISATIONS AND GROUPS AS POSSIBLE. THEREFORE, NOT ALL OF THE QUESTIONS MAY BE APPLICABLE, AND ANYTHING THAT ISN'T MARKED WITH A STAR / ASTERISK (*) IS OPTIONAL.

You are receiving this form to enable us to understand the capacity that exists in the Voluntary, Community and Parish Sector. As grant funded or commissioned partners we need to ask you to share the information that you have on staff and volunteers to enable us to re-purpose and re-deploy people who volunteer and work across our system to enable us to rise to the unprecedented challenge we now all face with regard to Covid-19.

It is likely that given the scale of the challenge we will need to potentially link these staff and volunteers into the new Essex Welfare Service (EWS) operated by Provide to ensure we are able to help people both on the ground and dealing with the volume of queries that they are likely to get.

You are all doing amazing work to support people in your local areas. Thankyou.
However, we may well be asking that we re-prioritise what you are doing as organisations to support this work and re-deploy people accordingly.

Please complete the attached by CoP on 24/3/20.

Once again.

Thank You – Essex is Kind.

IMPORTANT INFORMATION REGARDING YOUR PERSONAL SAFETY AND THE WELLBEING OF OTHERS

It goes without saying that Covid-19 / Coronavirus is contagious. Therefore, it is your responsibility to ensure that you are only spreading kindness when volunteering in your local community. Wherever possible and practical to do so, please avoid physical contact and maintain a distance of at least TWO METRES between yourself and others while volunteering, and wash your hands regularly in line with the latest government advice. If you are delivering items, please leave them on the doorstep and let the recipient know that they are ready to be picked up.

IMPORTANT INFORMATION REGARDING THE USE OF YOUR PERSONAL INFORMATION

Any information submitted using this form will be stored by Essex County Council and only accessed by Essex County Council and those working on their behalf in accordance with their current GDPR and data protection policies. It may be shared with Provide, an organisation that works alongside Essex County Council, and other approved partners such as ECC Adult Social Care solely for the purposes of making sure that respondents are connected directly with members of their local community who are organising volunteering efforts.

All data collected will be solely used to support the COVID-19 response in Essex.

For your information, you can read the relevant Essex County Council policies regarding data protection and GDPR at https://assets.ctfassets.net/knkzaf64jx5x/3ELBevLgnrxOqwr6i6EEME/95985ec440b441efcad32067836105f5/Privacy_notice_easy_read_guide.pdf

If you have any questions, please contact Kirsty O'Callaghan, Head of Strengthening Communities at Essex County Council. Email: kirsty.ocallaghan@essex.gov.uk
Email address *
Name Of Your Group / Organisation *
Your answer
What Type Of Organisation Is It? *
Your answer
What Are Your Hours Of Operation? *
Your answer
URL / Link For Your Group / Organisation
If you are a Facebook group, please provide a link to your group on Facebook. Otherwise, please provide a website link if you have one.
Your answer
Names / Emails / Phone Numbers Of Key Contacts In Your Group Or Organisation *
Please use this box to enter the names, email addresses and phone numbers of all key contacts in your group or organisation.
Your answer
Physical Address Of Your Group Or Organisation
If your group or organisation has a physical address, office, premises etc., please enter it here.
Your answer
Full Time Equivalent Of Your Members Of Staff
Please enter the full time equivalent value when taking all of your staff into consideration.
Your answer
Staff Names / Contact Details For Those Who Are NOT In Vulnerable Groups
For the purposes of this form, 'Vulnerable Groups' is referring to those whose health is especially at risk during the Coronavirus outbreak. This could include those who are self-isolating as per government advice.
Your answer
Volunteer Names / Contact Details / DBS Status For Those Who Are NOT In Vulnerable Groups
For the purposes of this form, 'Vulnerable Groups' is referring to those whose health is especially at risk during the Coronavirus outbreak. This could include those who are self-isolating as per government advice. Please indicate whether or not each individual is DBS checked.
Your answer
Do You Wish To Add Any Additional Information?
This is optional.
Your answer
DECLARATION *
Please enter your full name below to confirm that you have read and understood the information at the top of this form. We strongly recommend taking a few moments to read it again before completing this box. PLEASE REMEMBER that any information submitted through this form will be shared with Essex County Council and key partners for this project.
Your answer
A copy of your responses will be emailed to the address you provided.
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