Volunteer Application Form

Volunteer Application Form

Thank you for your interest in volunteering with Milk&You - a project of Daventry Volunteer Centre. We work in partnership with various organisations, and are funded by the Local Maternity and Neonatal System. Our partnerships include Northamptonshire Healthcare NHS Foundation Trust (Health Visiting), Kettering General Hospital NHS Foundation Trust (Maternity) and Northampton General Hospital NHS Trust amongst others (you will find out more during your training). We are grateful to hold charitable status and to serve our community to the best of our ability. You could be a part of our amazing TEAM if you currently breastfeed or have breastfed your own baby before! So why not complete our interest form and we will be in touch!
What area would you like to volunteer in?

DaventryTowcesterCorbyNorthamptonKetteringWellingboroughEast Northants
What type of role would suit you best? (You can select more than one option)

Group Support (facilitating a group attended by parents for support)Home Visits (visiting parents homes to provide support)Online (social media messenger support)Telephone (support calls to mothers in need of reassurance and information)Events (public speaking and educating the public)Donation Bank (sorting and delivering items to families in need)Breast Pump Loan (being responsible for pumps, providing demos and delivering to mothers)Breastfeeding Friendly Scheme (visiting businesses to talk about the scheme and mystery shopper style visits to ensure the scheme is working)
This form can be completed by those who wish to volunteer their time in supporting families by:

Providing a safe non-judgmental space for parents to gain support from their peers

Supporting maternal and infant mental health by promoting attachment and bonding

Promoting a Breastfeeding Friendly environment within their community

Delivering a breast pump loan scheme encouraging mothers to continue breastfeeding

Helping to give babies from low income families the opportunity to receive breastmilk

Offering support (donation bank) to reduce financial worries for families accessing the service
Full Name*

First NameLast Name
Date of birth*

DayMonthYear
Date
E-mail*
Address*

House/Flat No

Street Address

TownCounty

Postal CodeCountry
Mobile Phone Number *
Landline Phone Number

Area CodePhone Number
Current DBS (criminal record check) Certificate number (if you have one dated within the last 12 months).
Next of Kin Name (Emergency Contact)*

First NameLast Name
Emergency Contact Phone Number *
Where/how did you hear about us?*
What interests you about volunteering with Milk&You? *
What is your preferred language?
What days would you be able to volunteer? (We ask for 2-3 hours of your time per week)

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Should you need us to make arrangements for you to access information, training or support please tell us below how we can do this for you and what you may need.
After clicking submit you will be directed to completing a volunteer email consent form. Please complete this straight away to allow us to contact you and invite you to our volunteer chats.

Your information will be kept securely and in line with UK GDPR Law.

You have the right to have your information deleted from our system.

Please contact michelle@daventryvolunteers.org.uk to view our privacy policy or have your details removed.

We will not share your personal information with a third party. We will only store your information for the purpose outlined at the start of this form. We may collect anonymised data such as your ethnicty/gender to track the number of applicants from various backgrounds to make sure we are complying with the Equality Act 2010.

This is NOT a recruitment application form. An area coordinator will be in touch with you when they have received your form. You will then be invited for an online discussion or telephone call about your interest to volunteer. If the role is suitable for you, you will be offered training. Once you have completed the required training then you will be placed within your volunteering area and role.
I consent to you storing my information and using my details for the purpose of inviting me to volunteer. Please provide a signature to show you are happy with Milk&You using your information for the above purpose.

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I am happy for you to take photographs of me if I am successful in gaining a volunteering role. Please provide a signature if you are happy for Milk&You to take photos of you, with your consent at the time and for us to publish these photos on our social media page and within funding and management reports. We will always ask your permission before taking a photo regardless of whether you sign this form. You can also change your mind at anytime by emailing michelle@daventryvolunteers.org.uk

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