C88 Volunteer Registration Form

Volunteer Registration Form
You are being asked to provide personal information about yourself in order to register as a volunteer with Contact 88. Any personal information you provide to us will be used only by us, and will not be disclosed to others unless we are obliged or permitted by law to do so. By completing and submitting this form, you confirm that you have read & understood the information contained in it and that all information you give is true and correct.
Name

PrefixFirst NameLast Name
Address

Street Address

Street Address Line 2

Town or cityCounty

Post Code
Phone Number (Land line)

Area CodePhone Number
Mobile Phone Number
Your Email Address
example@example.com
Name of a contact in the event of an emergency

PrefixFirst NameLast Name
Emergency contact address

Street Address

Street Address Line 2

Town or cityCounty

Post Code
Emergency contact phone number (Land line)

Area CodePhone Number
Emergency contact mobile phone number
What relation to you is the emergency contact?
Which volunteer role(s) are you interested in? You can select more than one.
How did you hear about Contact 88?
As you'd like to drive our Minibuses, we'll need more information from you.
Does your driving licence include either Category D1 or B1
Unfortunately, without Category D1 or B1, you will be unable to drive our minibuses. Do please consider volunteering in some of our other roles.
Are you aged between 25 and 79 years?
Unfortunately, to be considered as a Minibus driver you must be between 25 and 79 years of age. Do please consider volunteering in some of our other roles.
Driving Licence Number
Please enter your licence number here
Have you had any driving convictions in the past 5 years?
If you answered 'Yes' to the last question, please give details.
Detalls of convictions
Have you been involved in a driving accident in the past 5 years?
If you answered 'Yes' to the last question, please give details.
Detalls of accidents
Do you have, or have you ever had a medical condition which is notifiable to the DVLA which could affect your ability to drive?
If you answered 'Yes' to the last question, please give details.
Details of notifiable medical conditions
Do you any health issues which might affect your ability to assist our elderly or disabled passengers?
If you answered 'Yes' to the last question, please give details.
Details of health issues
Please enter your date of birth

MonthDayYear
Date of birth
Thank you for taking the time to complete this form. We have all we need from you at the moment. Please click on 'Submit'. We'll review your form and be in touch very soon.
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