ISB COVID-19 Volunteer Registration form

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ISB Manchester is working in collaboration with a number of community organisations across Manchester including AskDoc and Greater Manchester BAME Network to URGENTLY recruit volunteers to support both Manchester and Trafford Councils NHS COVID-19 BOOSTER Jab vaccination programme over the next few weeks. This is protect us from the rapid spread of the COVID-19 Omicron variant.

We recommend before you register to volunteer you complete a COVID-19 risk self assessment to ensure you are safe to volunteer. Your score (SAAD) will suggest what risk you are at. Please follow the link to complete the assessment. https://saadscore.com/check-your-saad-score-and-your-covid-19-risk/

If you are interested in volunteering (anyone under 18 years will need parental approval), would you please provide us with your details below. You must be over 16 years. Proof of ID may be required i.e. driving licence or passport. All data captured will be treated with strict confidentiality under GDPR rules.

We thank you in advance for your kind support. We shall be in touch with you in due course. If you have any questions please contact us by email at manchester@isb.org.uk

Kind regards
Manchester Islamic Society of Britain (ISB)

Manchester ISB

First name *

Surname *

Mobile number *

Email address *

Where do you live? Please select the borough *

Bolton

Bury

North Manchester

South Manchester

Oldham

Rochdale

Salford

Stockport

Tameside

North Trafford

South Trafford

Wigan

Other:

Would you be willing to travel from your borough to another borough in Greater Manchester to volunteer? *

Yes

Maybe

What times are you typically available? *

8am - 10am - weekday

10am - 12 o'clock weekday

12pm - 2pm weekday

2pm - 4pm weekday

4pm - 6pm weekday

6pm -10 pm evenings

10pm - 6am overnight

Morning - weekends

Afternoon - weekends

Evenings - weekends

Flexible

Required

Your skills *

I am a qualified medical practitioner /nurse

I am first aid trained with a valid certificate

I have completed safeguarding training

DBS clearance in the last 12 months

Required

If you have had a recent DBS check, please provide the current certificate number

What other languages do your speak fluently?

Urdu

Punjabi

Gujarati

Hindi

Arabic

Polish

Malay

Parsi

Cantonese

Somali

Swahili

Kurdish

Do you have any disability or health problems? *

None

Yes - Go to next question

If you have a disability or health problem which may affect your volunteering task please give brief details below

How can I help? (Please tick where relevant)* *

Driving people to vaccine centres (strictly controlled - not affected by COVID-19 )

Marshalling people at vaccine centres

Providing administration support at centres i.e. recording detail on spreadsheets

Providing telephone based support for booking patients for vaccines

Helping with other non medical activities

Providing emotional support and advice online or by phone

Distributing leaflets

Helping with shopping or delivering prescriptions

Helping with mass COVID-19 testing in schools and public areas

Vaccinating patients (need to be trained)

Required

What transport do I have ? *

Own or access to a car

Have a license but no car

Motorcycle/bicycle

Anything else you would like to add

Please tick if you agree for your data to be stored and used only for the COVID-19 volunteer support work and you are over 18 years old *

I agree for my data to be stored

I am over 18 years old

Required

If you are under 18 years but over 16yrs, please confirm you have parental approval

Yes

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