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Volunteer Registration Form
Volunteer Registration
Title
*
First name
*
Surname
*
Date of Birth
*
Address
*
Email
*
Home telephone
*
Mobile
*
Preferred contact method
*
Please select
Email
Mobile
Home telephone
Occupation
Are you volunteering as part of your employer's scheme?
Yes
No
If yes, please provide the company's name
How did you hear about volunteering at Earth Trust?
Earth Trust website
Earth Trust newsletter
Earth Trust social media
Land / Countryside Management
Volunteering site (e.g. Do It, Reach, Charity Jobs, Oxon Volunteers etc)
Word of mouth / recommendation
Other
Please select areas that interest you:
Office Support / Administration
Centre Maintenance
Fundraising
Land / Countryside Management
Events
Education
Young Persons
Young Persons
Medical Information. The following data will be collected and processed for the purpose of ensuring your safety and compatibility with the tasks allocated when volunteering for Earth Trust. It will be treated in the strictest confidence.
Do you have any existing medical conditions that may affect your work? If Yes, please give details below.
*
Yes
No
Please give details below
Do you take any regular medication that you think we should be aware of?
*
Yes
No
Please give details below
Do you suffer from any allergies?
*
Yes
No
Please give details below
There may be dogs in the office or out on site with a working group – do you have any fear of dogs?
*
Yes
No
If yes, please explain what and how bad the fear is.
Depending on the detail given above, for your safety we may need to inform other members of staff or team leaders working with you about a medical issue you have mentioned. Do you give your consent for a member of Earth Trust staff to discuss this further with you?
*
Yes
No
In the event of an emergency please contact
*
Relationship to you:
*
Mobile telephone number:
*
Home telephone number:
*
Are you interested in becoming a member of Earth Trust?
*
Yes
No / Already a member
Maybe
Membership costs just £3 a month. Your support can inspire more people with the power of green spaces, so that people and nature can thrive in balance.
Would you like to receive our regular e-news?
*
Yes
No
Our newsletters keep you up-to-date on events and activities, projects and features, fundraising and more. You can opt out at any time.
I confirm I have read, understood and will comply with the Volunteer Handbook and Volunteer Safety Guide
*
yes
I declare that the answers to the above questions are true and complete to the best of my knowledge and belief. It is my responsibility to give updated information when necessary, if it is likely to affect my work.
*
I declare that the answers to the above questions are true and complete to the best of my knowledge and belief. It is my responsibility to give updated information when necessary, if it is likely to affect my work.
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