S17 COVID-19 Volunteer Form

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By completing this form you are volunteering to support your local community by assisting with shopping & medication (pick up, doorstep delivery) and other essential errands. You will, at all times, abide by Government and NHS guidelines

First Name *

Surname *

Mobile Telephone Number (this is required so that we can link you into the WhatsApp groups that are the main mechanism for organising volunteer activities) *

Postcode (this is required so we know the area that you can support and also so that your first name and this postcode can be added to the volunteer map) *

Preferred sub-group (Please choose an area close to where you live initially as this will allow you to build up a rapport with people who are more likely to know and come to trust you) *

Abbeydale Park / Lower Dore

Bradway Prospect

Bradway Twenty well

Dore Village

Totley

Totley Brook

Any comments / queries?

I confirm that I am over 18 *

I agree

By submitting this form you agree that the contact details noted here will be shared with the other S17 WhatsApp volunteers for the purpose of supporting our S17 community *

I agree

Submit

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