Lanchester Partnership And Churches Together COVID-19 Support group form 1
VOLUNTEER SIGN UP FORM
Email address *
Name (what would you like to be called) *
Your answer
I understand that there may be a chance of catching Corona virus and agree that all volunteer work is undertaken at my own risk, and that Lanchester Partnership and Churches Together will not be responsible for any injury or illness sustained whilst volunteering for this project. *
I will follow the advice published by the World health Organisation (WHO) and National Health Service (NHS) which can be found here https://www.nhs.uk/conditions/coronavirus-covid-19/ https://www.who.int/emergencies/diseases/novel-coronavirus-2019 *
Are you in the group of people that the Government is advising to self isolate? (we will use this information to allocate home based tasks where appropriate) *
It would be helpful to know your Street or Road, so that we can link up volunteers nearby one another. If you are interested please add below
Your answer
Phone number *
Your answer
Are you willing to be added to a WhatApp group? (your number will be visible to all other members of the group) *
Are you willing to be added to a Facebook messenger group *
If you would like to be added to a what’s app group please send a text to 07967597949 from the number you would like adding.
If you would like to be added to the messenger group please contact us on the Facebook page Lanchester Partnership And Churches Together COVID-19 support
What can you do to help? *
Required
Do you have a Current (in date - issued in the past three years) DBS Certificate? *
A DBS a certificate issued by the Disclosure and Barring Service, information is derived from police records and details of convictions, cautions, reprimands and warnings an individual may have are disclosed.
If yes - please advise the organisation named on the certificate
Your answer
Are you willing to provide a copy of the DBS to us?
Is the DBS ...
Do you have access to a vehicle? *
Do you have anything else that you would like to share?
Your answer
Have you read and do you agree to adhere to the Lanchester Partnership And Churches Together COVID-19 Support groups Volunteer & Recipient Goals and Disclaimer? A copy can be found on the facebook page. *
by clicking submit you agree for your data to be stored by the Lanchester Partnership And Churches Together COVID-19 Support group. Please select your consent of data sharing. You can withdraw this at anytime by emailing lanchesteraid@gmail.com *
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