Mileham Mutual Aid Volunteer Registration
Please use this form if you wish to register to support Mileham residents.

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.

Data will be stored according to our Privacy and Data Protection policies (http://bit.ly/mma-priv)
Name of Volunteer *
Email *
Telephone number (optional)
Whereabouts in Mileham are you based? *
In order to coordinate volunteers it would help to get an idea of roughly whereabouts you are within the parish. The extent of the parish can be seen on this map: http://bit.ly/MilehamBoundary
It would help to know your street/road to put you in touch with other people nearby for leaflet drops and other volunteer work. If interested please add (optional)
What is your availability? *
Required
What can you do to help? *
All help must be delivered so as to minimise the risk of infection to the volunteer and recipients.
Required
How much contact do you want?
Do you have any relevant special skills or training?
Do you have a current DBS Check certificate?
Clear selection
Do you consider yourself in an at risk group?
Clear selection
Any comments or feedback?
Privacy Policy *
By clicking Submit you agree that your data will be encrypted and securely stored by the volunteer group for Mileham Mutual Aid with purposes as described in the group's privacy policy (https://aid.mileham.org.uk/privacy-policy).
Required
Data Sharing Agreement *
This consent will allow us to put volunteers in touch with each other. Data sharing will be kept to minimum. You can withdraw consent at any time by emailing mma@mileham.org.uk. I also agree to my email address being added to the volunteers' closed mailing list.
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Mileham Village. Report Abuse