Lamplight API response

First name

Last name

Address 1

Address 2

Address 3

Address 4

Address 5

Postcode

Email address

Mobile phone

Phone number

All roles involve volunteering on Christmas Day itself. We would like to contact you whilst you are engaged with our services and to share any future opportunities. You can opt out whenever you like, and we won't share your contact details with any other organisations. Are you happy for us to contact you:

By post

By email

By mobile

By text message

Other information

Which Marmalade Trust volunteer roles are you interested in? (Tick all that apply)

Marmalade Connections (phone-based signposting project)

Christmas Cheer Drive & Host Volunteer (drive members to & from venues & stay for meal)

Christmas Cheer Driver Volunteer (helping drive members to & from meal event venues)

Christmas Cheer Doorstep Visit Volunteer (visit only)

Christmas Cheer Lead Venue Volunteer (oversee an event at a venue)

Without volunteering, would you be on your own for Christmas Day? (Yes / No)

Yes

Do you meet the following eligibility criteria to become a Marmalade Trust volunteer? (Tick all that apply)

Over 18

Able to provide 2 character references

Able to provide current photo identification ie passport or drivers license

Have a clean driving licence and insured vehicle (if applying for a driving role)

Area

Consent (required for us to process & store data)

Do you give consent for Marmalade Trust to:

Store your data whilst volunteering with Marmalade Trust

Store your data 6 years after volunteering with Marmalade Trust (you can request for your data to be removed at any point)

Demographics

Date of birth (use arrow next to month & year to scroll)

Age bracket

50 and under

51 - 64

65 - 74

75 - 84

85+

Gender

Ethnicity

Next of kin

Do you have a next of kin?

If yes, what is your next of kin's name?

Next of kin relationship to you (e.g. mother, brother, uncle, cousin)

Next of kin phone number

Is your next of kin the person we should contact in an emergency?

Emergency contact (if no next of kin)

Emergency contact name

Emergency contact phone number

Emergency contact relationship (e.g. friend, neighbour, GP)

Health and wellbeing

Are there any health or mental health conditions which might affect you in your volunteer role?

Yes

If yes, please share any health or mental health conditions that we should be aware of

Allergies

Do you have any allergies?

Allergy notes

Experience

Do you have experience in health and/or social care?

Have you worked with:

People with physical impairments

People with visual impairments or who are blind

People with hearing impairments or who are deaf

People with learning difficulties

People with mental health difficulties

People with autism or aspergers

Additional information on experience

Reason for applying to volunteer with Marmalade Trust

Vehicle

If your role involves driving service users, please provide information on the vehicle you would use

5-door

3-door

Large boot (for walking aid/wheelchair)

High vehicle ie SUV

Low vehicle ie sports car

How did you find out about Marmalade Trust?

I confirm that a NOK or emergency contact has been added

By clicking "save details" you consent that we may store the information you have provided for the purposes explained above. Please see our personal data policy for more information. Thank you for applying - we are a small team and will be in contact with you shortly. Do check your Spam or Junk as sometimes we go in there first time, then you can make us a safe sender.

You can read our privacy policy here

Volunteer with us on Christmas Day!