Volunteer Registration Form

Personal details

First Name *

Surname *

Home Tel

Mobile Tel *

Street Address *

Street Address Line 2

City *

Postal Code *

Email *

About you

Are you employed within the ambulance service? *

Yes

Have you previously worked within the ambulance service? *

Yes

Employer *

Job Role

Based at

Which areas do you cover?

Do you have family within the ambulance service?

Why do you want to volunteer for TASC?

What area of volunteering are you interested in? (please tick as appropriate) *

(Please let us know about other ways you may wish to support TASC) *

Please provide details of any skills or interests you could bring to this role, including any previous voluntary or work experience.

(please specify) *

Previous Conviction Declaration *

The nature of TASC’s work means that, during the course of volunteering with us, you may come into contact or work with vulnerable people. As such, the role that you are applying for is exempt from the Rehabilitation of Offenders Act 1974. This means that you must declare all details of any criminal convictions, including those that are “spent”. You should include any cautions, reprimands or final warnings. Having a criminal conviction may not necessarily exclude you from volunteering with us.

NO, I do not have any previous convictions or criminal offences to declare

YES, I have a previous criminal conviction to declare

Please provide details *

Contact preferences *

We’d love to keep you updated about the services we provide, how you can support us, and how we can support you. Please tick the boxes below to let us know how you’d like to hear from us.

Email – we may send regular updates and occasional appeals

Post – we may send you updates and occasional appeals by post. Please note: as part of your volunteering role, we will need to send promotional items to you by post. If you would prefer not to receive these by post, please speak to your volunteer coordinator: volunteering@theasc.org.uk / 0247 7987 922

Phone – we may call you from time to time to update you on our progress

You can change or stop what you receive from us at any time.

We will never sell your data. We will only ever share it with third parties who carry out work on our behalf and have guaranteed to keep your details confidential.

We would like to improve the quality and accuracy of information you have provided by occasionally checking them against external data lists. This helps us ensure our records are fully up-to-date and to avoid misdirecting communications.

If you agree, please tick here.

External data list checks

Declaration

I understand that data contained within this application form will be used for the purposes listed above and will only be shared with third parties in accordance with the details set out in our Privacy Policy.

I consent to TASC holding my details securely on a computer database or in paper file. Please refer to our Privacy Policy for details

I confirm that the information I have given is correct and complete and that any false statement or omissions may result in my volunteering services being terminated.

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