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Chesham Volunteer Response Team (Chesham Help for Coronavirus) Volunteer Sign-up
Chesham COVID-19 aid group sign-up sheet.
See our privacy policy here:
https://docs.google.com/document/d/1jOH1E5qyK-kZHEQWlJVdj9PjeHR3jBi5QIu3hpj8wUk/
Our best practices and guidelines are here:
https://docs.google.com/document/d/1k9pRPtf3_h7H9IhH0N4HMutI2IQPrWCehnqxxNbhmUc/
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* Indicates required question
Full Name (needed for any reimbursements):
*
Your answer
Please add your phone number so we can contact you about volunteer work:
Your answer
What street do you live on?
*
Your answer
What is your availability? (select all that apply)
*
Weekday mornings (8am - 12pm)
Weekday afternoons (12pm - 5pm)
Weekday evenings (5pm - 9pm)
Weekend daytimes (8am - 5pm)
Weekend evenings (5pm - 9pm)
Irregular / Varying
All the time
Required
What can you do to help? (shopping on behalf of others, providing emotional support/check-ins by phone, etc.)
*
Your answer
If you are willing to collect prescriptions, and have transport, please let us know which Pharmacy in Chesham you use for your prescriptions (for ID purposes at the Pharmacies).
Your answer
Do you have a car?
*
Yes
No
Anything else you'd like to share?
Your answer
If you have already leafleted a street / streets, please let write here which ones you have done. (Sorry if you've already told us, but we're asking again to be sure!)
Your answer
Do you have a DBS check? (not required, but good to know for the future). Please select Yes or No. If Yes, please email a copy of your DBS check to
paul.harding@gmail.com
Yes
No
Clear selection
By clicking submit you agree for your data to be stored by the volunteer group for Chesham Volunteer Response Team (Chesham Help for Coronavirus) group purposes only. Please check the boxes below to indicate your consent of data sharing and that you have read and understand the guidelines provided above. You can withdraw data sharing consent at any time by emailing
paul.harding@gmail.com
*
*
I agree with the privacy policy (link at top of this form)
Share my data with other local volunteers
I have read and will follow the Best Practices and Data Protection guidelines (link at top)
Required
Submit
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