Peace Centre FoodBank - Self-isolation volunteer form
Hello & thank you for coming through to the registration form for assisting those who are over 65 or those who have no other means of support & where neccesary and are self - isolating in Leicester & Leicestershire from the Corona virus.

Through your kind support we want to be able, God willing, assist & support as many people as possible.

We require people who can do the following;
1. Delivering
2. Help with food collections
2. If & when required, to help with packing the food parcels.
Full name *
Full address *
Area *
Postcode *
Mobile phone number *
Which areas of Leicester/ Leicestershire can you deliver to? *
Please state availability *
Required
Are you available to pack food parcels if necessary? *
Are you available to collect food items if necessary? *
Statment: I hereby confirm that I have a vaild drivers licence and I am happy to deliver food parcels where needed. In addition to this I will ensure that I show dignity, empathy, respect and kindness to all. *
I confirm that all information that I have given is true & correct *
I will ensure that on arrival to the Peace Centre I will produce my drivers licence *
What other kind of help can you offer. *
I confirm that neither me or anyone that lives with me has any of the symptoms of COVD-19 *
The Peace Centre Food-Bank will not share your information UNLESS REQUIRED BY LAW TO DO SO according to GDPR laws. If and when the need arises during the Corona virus emergency would you be happy for us to share your information with the following organisations, Please tick as appropriate ; *
Required
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