Senior Changemakers: Volunteering Champions Awards

1
Full Name of the NomineeNote: Volunteer must be based in the South East of England region
First Name
Last Name
2
Age of the NomineeNote: Volunteer must be over the age of 65
3
Occupation / former occupation (if applicable, e.g., retired teacher, former nurse etc)
4
Please provide an overview of how long the nominee has been volunteering
1-3 years
4-7 years
8+ years
Other
5
Which of the following best describes the working work the nominee takes part in?
Intergenerational mentoring (teaching people of a different age to them - this may include, but is not limited to, personal, academic, work, or life-skill mentoring)
Community (volunteering that helps the local community, which may include, but is not limited to, volunteering in homeless shelters, community projects, wildlife preservation, safeguarding initiatives)
Culture (volunteering to help enhance the local culture, including, but not limited to, arts, music, museums, libraries etc)
6
In no more than 200 words, please explain why the person you are nominating should be recognised for a Senior Changemaker AwardPlease provide details of what kind of volunteering the nominee engages in, how many hours per week they volunteer, and their dedication to go above and beyond.
0/200
Huge
Large
Normal
Small
Ok
Ok
7
In no more than 100 words, what is one example of how the nominee’s contributions have improved or changed people’s lives?
0/100
Huge
Large
Normal
Small
Ok
Ok
8
What is the name of the organisation the nominee represents?
9
Lastly, how can we get in touch?Please share your email address so we can get in touch and ensure your nominee is acknowledged for their hard work!
10
By ticking the below box, you consent to taking part in the next stage of the Senior Changemakers: Volunteering Champions project, which will involve filling in some simple information about the volunteers that currently work at your organisation. The information you provide will be used to assess the true contribution of volunteers in society and will be featured in a report. No confidential information will be published.
Yes, I consent to take part in this project.
No, I do not wish to becontacted about this project
11
The following question gathers information about all your volunteers over the age of 65.Please fill in the below table which gathers some simple information about the types of roles your older volunteers complete. This information will be used to estimate the economic value of volunteering. Example: Volunteer Driver, £8.00 per hour, 30 hours volunteered per week (per volunteer), 3 volunteers complete this role, 48 weeks per year.
Volunteer title
Estimated hourly wage rate for job
Total hours volunteered (per week, per volunteer)
Total number of volunteers in role
Number of weeks volunteered (per year, per volunteer)
1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
5
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
1
2
3
4
5
Volunteer title
Row 0, Column 0
Estimated hourly wage rate for job
Row 0, Column 1
Total hours volunteered (per week, per volunteer)
Row 0, Column 2
Total number of volunteers in role
Row 0, Column 3
Number of weeks volunteered (per year, per volunteer)
Row 0, Column 4
Volunteer title
Row 1, Column 0
Estimated hourly wage rate for job
Row 1, Column 1
Total hours volunteered (per week, per volunteer)
Row 1, Column 2
Total number of volunteers in role
Row 1, Column 3
Number of weeks volunteered (per year, per volunteer)
Row 1, Column 4
Volunteer title
Row 2, Column 0
Estimated hourly wage rate for job
Row 2, Column 1
Total hours volunteered (per week, per volunteer)
Row 2, Column 2
Total number of volunteers in role
Row 2, Column 3
Number of weeks volunteered (per year, per volunteer)
Row 2, Column 4
Volunteer title
Row 3, Column 0
Estimated hourly wage rate for job
Row 3, Column 1
Total hours volunteered (per week, per volunteer)
Row 3, Column 2
Total number of volunteers in role
Row 3, Column 3
Number of weeks volunteered (per year, per volunteer)
Row 3, Column 4
Volunteer title
Row 4, Column 0
Estimated hourly wage rate for job
Row 4, Column 1
Total hours volunteered (per week, per volunteer)
Row 4, Column 2
Total number of volunteers in role
Row 4, Column 3
Number of weeks volunteered (per year, per volunteer)
Row 4, Column 4
1 of 5
12
By ticking the below box, you agree that there is no active physician on your board of trustees.Edwards Lifesciences maintain the right to conduct a due diligence search if required.
Yes, I agree
No, I do not agree
Should be Empty: