Healthwatch Northumberland volunteer registration of interest form

 

Thank you for your interest in volunteering for Healthwatch Northumberland!

To register your interest and receive more information, please complete this form. Everything you tell us will only be used for this purpose, will be treated in confidence, be stored securely and held in accordance with our retention schedule, after which time it will be securely destroyed. You can find our privacy policy on our website.

1. Your contact details: *

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2. Date of birth *

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3. Please tick the types of activities you are interested in helping us with then we can provide further details. Full support is provided. A Basic DBS check will be required for most roles (unless <18 yrs). For visiting care premises, an Enhanced DBS check would be necessary:

 

4. Some of our volunteer roles involve visiting premises and venues. Please tick the transport available to you:

 

5. How long are you interested in volunteering for?

 

6. Approximately how much time can you give each month?

 

7. Please tell us why you would like to volunteer with us and what you hope to get from it yourself:

 

8. What skills, knowledge and experience do you have - from home and/or work life - that you would like to offer:

 

9. What personal qualities do you have?

 

10. Do you consider yourself to have a disability? If you tell us that you have a disability, we can make reasonable adjustments to assist you in your application or with our recruitment process. We will contact you to talk about this.

 

11. Where did you hear about our volunteer programme?

 

12. Please use this box to tell us about anything else relevant to your application, including any employment or volunteering experience or any additional skills or life experiences you wish to share:

 

13. We’d like to keep you up to date with the work we’re doing, the results we’ve had and what people have told us about their experiences of health and social care through our monthly newsletter. Please read our Healthwatch Northumberland Privacy Policy (this will open in a new window) and indicate below to confirm if you would prefer not to receive this, or would like to receive a paper copy or an email copy of the newsletter sent to the postal/email address you already provided above. We won’t share your details with anyone else and we won’t email you too often.

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Volunteers are required to undertake a Disclosure and Barring Service check. This is free of charge for volunteers (any costs are reimbursed). The level of check will depend on the nature of the volunteer role. You can find our volunteering policy on our website.