Make Sense of It Project Interest Form

Make Sense of It Project Interest Form
Make Sense of It is Tackle Prostate Cancer’s confidential Treatment Decision Peer Coaching service. It is for people newly diagnosed with prostate cancer who are facing treatment decisions, and for those supporting them.

By completing this form, you are asking us to contact you about being matched with a trained volunteer with lived experience. Treatement Decision Buddies do not give medical advice or tell you what to do, but they can help you talk things through, prepare for clinical appointments, access reliable information, and feel more confident in making the decision that is right for you. We look forward to hearing from you.
Name

First NameLast Name
Email
example@example.com
Contact number
Please enter a valid phone number.Format: 00000000000.
Please choose the days of the week on which it would be best to contact you:
Data Protection Information
Your privacy is important to us, so we’ll always keep any personal details secure. We process your data in order to fulfil our membership application process. Your data will be used to communicate with you throughout the process including to confirm that we have received your application, to notify you of the decision of the Trustees, or to resolve any issues that might arise.

The contact data in section 9 will be made available on our website to help people to find a support group near them.

Please see our privacy policy on our website for more information on how we look after your personal information. https://tackleprostate.org/privacy-policy/
I have read and agree to the Data Protection notice and, in particular, confirm that I have permission to use any personal data that is not mine.
Signature
Should be Empty:

Make Sense of It Project Interest Form

Data Protection Information