Can you offer help?
Thankfully we have been overwhelmed with sign ups - any new volunteers will be added to our reserve list.
Name *
Your answer
Email *
Your answer
Address *
Your answer
Phone number (Preferably Mobile) *
Your answer
Can you drive? *
Do you have any medical training? If yes, please list qualifications and/or experience? *
Your answer
Do you have any counselling qualifications / experience? *
Do you have any other relevant skills? (E.g. team leading)
Your answer
Are you part of another local organisation?
What can you help with? *
Safeguarding Declaration *
Has your conduct ever caused, or been likely to cause, harm to a child / vulnerable person or put a them at risk, or, to your knowledge, has it ever been alleged that your conduct has resulted in any of these things?
Have you ever been charged with or convicted of a criminal offence; or are you at present the subject of criminal investigations? (NB the disclosure of an offence may be no bar to you participation). *
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This form was created inside of Lutterworth Church.