Please fill in your information below so we can register you as a Cranleigh Street Champion.  You should not volunteer if you are not feeling well or have any symptoms of the Coronavirus. 
YOU MUST BE OVER 18 to volunteer.

Thank you so much for helping your community at this challenging time.


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* 1. Please confirm both the following by clicking the checkbox

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* 2. Please confirm that you DO NOT fit into any of the following categories?

If you are unable to tick the boxes in question 2 you should NOT be leaving your home.  However, if you are feeling well and feel able to help, you may still be able to support us by making phone calls.  You can continue to fill in this form but you must ONLY opt to make phone calls from your home.  If you want to find out more please email streetchampions@cranleigh-pc.gov.uk

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* 3. I am able and well enough to help people by carrying out the following tasks (If you are in isolation or self-isolating but feeling well you must ONLY opt to make phone calls) You can withdraw or alter your offer of help at any time by emailing streetchampions@cranleigh-pc.gov.uk

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* 4. What is your first name?

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* 5. What is your surname?

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* 6. What is your phone number (mobile preferred)?

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* 7. What is your email address?

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* 8. What is the first line of your address and post code?

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* 9. Do you have any particular skills that you think it might be helpful for us to know?

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* 10. Please upload a copy (take a photo on your mobile device) of your driving licence OR a copy of your latest Council Tax Bill.  If you are a Cranleigh Lion you can use your ID card. If you do not have this information to hand at this point you can email it to us separately streetchampions@cranleigh-pc.gov.uk WE NEED THIS INFORMATION TO COMPLETE YOUR REGISTRATION.

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* 11. Please upload a picture of yourself (take a photo/selfie on your mobile device) If you do not have this image available at this point you can email it to us separately streetchampions@cranleigh-pc.gov.uk WE NEED THIS INFORMATION TO COMPLETE YOUR REGISTRATION.

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* 12. By completing this form you are agreeing to volunteer for the Street Champion Scheme and to take part in related publicity if required. Your photo and name only will be published on the Parish Council website www.cranleigh-pc.gov.uk and your contact details will be shared with people contacting the Parish Council needing support as a result of the Coronavirus.  By clicking the box below you are also agreeing to comply with the Guidelines for Street Champions which are also listed on the next page and can be downloaded from our website.

Cranleigh Parish Council cares to ensure the security of personal data. This is done through appropriate technical measures and relevant policies. Data is  kept for the purpose it was collected for and only for as long as is necessary. (See our Privacy Notice & Retention Policy online at: www.cranleigh-pc.gov.uk for further information)

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