Volunteer with us and make a difference in your local community!

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* 1. Your contact information:

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* 2. Date of birth

Date

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* 3. Please tick the types of activities you are interested in supporting (full training and support is provided):

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

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* 5. What type of volunteer role are you interested in:

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

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* 7. Please tell us why you would like to volunteer with us:

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

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* 9. What personal qualities do you have:

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* 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.

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* 11. Where did you hear about our volunteer programme?

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* 12. Please use this box to tell us about anything else you think is relevant to your volunteer registration:

Volunteers will be reimbursed for out-of-pocket expenses incurred while taking part in agreed activities on behalf of Healthwatch Northumberland.

Volunteers will be required to undertake a Disclosure and Barring Service check. This is free of charge for volunteers. The level of check will depend on the nature of the volunteer role. 

You can find a link to our Volunteering Policy here: https://healthwatchnorthumberland.co.uk 

Information provided on this form will be used to process your volunteer registration and will be protected and treated securely in accordance with the Data Protection Act (1998) and the General Data Protection Regulation (GDPR) & Data Protection Bill.

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