Volunteer Registration - The Listening Lounge, Barking and Dagenham

1. Full Name:

First NameLast Name

2. Date of Birth:

Date

3. Address:

4. Postcode:

5. Borough:

Please state other Borough

6. Email:

example@example.com

7. Primary Phone Number:

Please enter a valid phone number.Format: 00000000000.

8 . Available Start Date:

Date

9. Please state your availability:

10. Frequency of Commitment:

11. Do you have a current DBS on the Update Service?

12. Please state the languages you can speak:

13. Please state your dietary requirements:

14. Where did you hear about LifeLine's Crisis Prevention Service Volunteer opportunity?

Your information will only be used to allow us to deliver Befriending services in Waltham Forest. We will keep your information safe by following data protection laws that include keeping your information secure, only using it for the reasons we state in our privacy notice, not sharing your data without your consent and only keeping it for the for the necessary length of time in accordance with data protection laws. You can find out more about your rights, how we use your personal information and how we keep your details safe and secure by reading our Privacy Policy. We encourage you to read our policy, available on the link below

Read our Privacy Policy here

15. Data processing consent

15. Please confirm you agree to the collection and processing of your data.

Owner ID

Volunteer Registration Form