Volunteer Request Form

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By submitting this form, I declare that the information given in this questionnaire is true and complete.
I understand that the information provided on this form will be stored on our Database in accordance with the Data Protection Act 1998 and GDPR rules, and will be processed solely in connection with the volunteer position.
I understand that submitting this form, does not guarantee me a volunteering placement at Mitchell's Miracles charity.
By completing this form and registering as a volunteer for Mitchell's Miracles, I agree to adhere by the charity’s rules, policies and procedures.
When a suitable volunteering role becomes available, we will contact you to discuss your interest and availability.

Email *

Volunteer for Mitchell's Miracles Neuroblastoma Charity

Email address *

Name *

Date of Birth *

YYYY

Do you have an up to date DBS certificate, If so can you provide a copy of the certificate?

(If no, don't worry, we can advise)

YES

Address *

Phone number *

Gender *

Please select your preferred volunteer role *

Bravery Blanket

Office / Admin

Fundraising

Event Organising

Charity Tin Collection

Wrapping presents for our oncology children (Easter and Christmas season)

Social Media

First Aid

Marshal

Other:

The Disability Discrimination Act 1995 defines a person with a disability as 'A physical or mental impairment which has a substantial adverse long-term effect on his or her ability to carry out normal day to day activities'. Do you have a disability which might affect your ability to volunteer for us, or which may require special arrangements? *

If you answered yes to the previous question, what facilities, adjustments or equipment might support you to perform a role?

Do you suffer from any medical conditions, have any allergies, or have had any operations or surgical procedures that we should be made aware of?

Or are you currently receiving or awaiting treatment for any condition/illness that we should be aware of?

YES

If you answered yes to the previous question, please provide details here.

Emergency contact. Please provide a name, telephone number and email address

Do you hold a valid full UK driving License

Please give details of the days/times you may be available to volunteer. Please give all possibilities and we will contact you to confirm your availability, where necessary.

A copy of your responses will be emailed to the address you provided.

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