Sign up to Become a Volunteer for Disability Charity

Step 1 of 8 - Your Details

Title

First Name

Last Name

Email

Phone

Mobile

Address

Street Name & Number

Town/City

County

Post Code

Age Range

18-2526-4041-6465+

Step 2 of 8 - About you

Ethnic Group

Ethnic Background

Step 3 of 8 - Emergency Contact

In an emergency, who would you like to contact?

First Name

Last Name

Relationship

Contact number

Step 4 of 8 - The Role

Are you applying for a specific advertised role?

YesNo

Advertised Role Title

Advertised Role Location

Please indicate which area(s) you would be interested in helping us with:

Make equipment (woodwork, metalwork, electronics)Offer medical advice (occupational therapy, physiotherapy)Administration (take minutes, organise meetings)Fundraising (apply for grants, organise events)Publicity (give talks, write articles, manage a website)Management (lead a group, handle finances, coordinate projectsSomething else

which different area would you be interested in helping us with?

Step 7 of 8 - Your Health

Do you have any health conditions that we should be aware of? For example if you require additional support or equipment. Please tell us so that we can plan to meet your requirements

YesNo

Detail your health conditions and any additional support or equipment that you may require

Step 8 of 8 - Keep in touch and Confirmation

We would love to keep in touch

We only contact people who have given us their specific permission to do so. We would like to keep in touch with you to keep you updated on our latest news, stories, fundraising and to ask for your feedback on our services.

How would you like to hear from us?

PostEmailPhonePlease tick the boxes to tell us what ways you would like to hear from us.

Phone

You can change your mind at any time by contacting us on 01732 760209 or data@remap.org.uk

Your details are safe with us. See link to Privacy Policy below this form.

Data Protection

Remap values your support and we promise to respect your privacy. Your information will be held confidentially and in accordance with data protection law. We will use this data to process your application and to start your volunteer record if you go on to join us. We will not pass on your data to a third party without your consent.

Declaration

I confirm that the information given on this form is, to the best of my knowledge, accurate. I am willing to uphold Remap’s values and behaviours.

I understand that my role with Remap may involve issues and situations of a sensitive nature and I agree to maintain confidentiality at all times.

I consent to the processing of this data for the purposes of volunteer recruitment and during the course of my volunteering, in accordance with the law on data protection

Tick box to agree

Further information

I understand that I will need to provide references and have a DBS check before I can become a full Remap member. This will be requested at a later stage