Coronavirus (COVID-19) Volunteer Registration

Thank you for registering your interest in being a community volunteer in response to coronavirus (COVID-19)

Your offer of support is very much appreciated and we expect the need for community volunteers to increase significantly over the coming weeks, as we respond to this crisis.

To help us to link you with the people who need your support, we would be grateful if you could complete the attached short questionnaire.

We will then direct you to key contacts in the one of the three Community Resilience Hubs in Cumnock and Doon Valley, Kilmarnock and Stewarton and Irvine Valley. This will help to match up the support you can provide with what is needed in our communities.

Remember there are lots of ways to help such as checking in regularly with family, friends and neighbours, helping neighbours bring their waste bins to the kerbside or helping them with their gardens. You can still help even if you need to stay at home by providing telephone support and reassurance to those in need.

All potential volunteers need to decide whether it is appropriate for them to volunteer based on the national guidance available here

The latest updates on our services and useful links on coronavirus (COVID-19) are available via the Council website here

1. Personal Details
*

Name:	*
Email Address:	*
Contact Telephone No.	*

2. How can we help?
Please select any or all of the 3 options below *

	Yes	No
Community resilience volunteer - General help and support including pick-up and delivery of food, medicines and essentials. Regular calls and check-in’s for people who are lonely or isolated.	Community resilience volunteer - General help and support including pick-up and delivery of food, medicines and essentials. Regular calls and check-in’s for people who are lonely or isolated. Yes	Community resilience volunteer - General help and support including pick-up and delivery of food, medicines and essentials. Regular calls and check-in’s for people who are lonely or isolated. No
Support to Local Groups and Charities - you will be directed to where you can help	Support to Local Groups and Charities - you will be directed to where you can help Yes	Support to Local Groups and Charities - you will be directed to where you can help No
Support Local Services - Support the cooking and / or delivery of meals, drivers or support people within their home	Support Local Services - Support the cooking and / or delivery of meals, drivers or support people within their home Yes	Support Local Services - Support the cooking and / or delivery of meals, drivers or support people within their home No

3. Where can you volunteer?
Please select yes or no for every option *

	Yes	No
Cumnock & Doon Valley	Cumnock & Doon Valley Yes	Cumnock & Doon Valley No
Kilmarnock	Kilmarnock Yes	Kilmarnock No
Stewarton & Irvine Valley	Stewarton & Irvine Valley Yes	Stewarton & Irvine Valley No

4. Time of day you are available

	Morning	Afternoon	Evening
Monday	Monday Morning	Monday Afternoon	Monday Evening
Tuesday	Tuesday Morning	Tuesday Afternoon	Tuesday Evening
Wednesday	Wednesday Morning	Wednesday Afternoon	Wednesday Evening
Thursday	Thursday Morning	Thursday Afternoon	Thursday Evening
Friday	Friday Morning	Friday Afternoon	Friday Evening
Saturday	Saturday Morning	Saturday Afternoon	Saturday Evening
Sunday	Sunday Morning	Sunday Afternoon	Sunday Evening

5. Additional Information

Please answer the following 4 questions

A. Do you have a current Disclosure Certificate *

Yes
No

B. Do you have any specialised training? *

Yes
No

If so please comment

C. Driving Licence
Please select yes or no for both options *

	Yes	No
Do you have a current Driving Licence?	Do you have a current Driving Licence? Yes	Do you have a current Driving Licence? No
Do you have access to a Vehicle?	Do you have access to a Vehicle? Yes	Do you have access to a Vehicle? No

Class of Driving Licence

D. Is there anything else you wish to add? *

Yes
No

If yes, please comment

5. Contact Details
Please confirm that you are happy for your contact details to be shared
(We will not use these details for anything but communication that you have agreed to)
*

Yes
No

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