Volunteer Form

Name*
Prefix First Last
Address*
Street Address Address Line 2 City ZIP / Postal Code
Date of Birth*
Date Format: DD slash MM slash YYYY
Mobile*
Email*
Permission to contact you by mobile / email*
- Yes
- No
Link to the group
Preferred role*
Please describe preferred role
Volunteer Start Date
For current volunteers please add your approximate start date
Date Format: DD slash MM slash YYYY
Do you have a current UK Driver's Licence*
- Yes
- No
Do you hold a current DBS in other roles*
- Yes
- No
If yes please give details*
Medical Info
Health Status
Please advise any current or ongoing health conditions which may affect your role at FRH, such as heart, back, eyesight, fatigue etc
Name of Doctor's Surgery
GP Name
GP Surgery Address
Street Address Address Line 2 City ZIP / Postal Code
Medications
Please list any medications you take and will they be with you during your time at FRH and where?
In the case of an emergency
Is there anything we'd need to let a medic know in case of an emergency?
Please advise us of any food sensitivities or allergies
Emergency Contact #1 - Name*
First Last
Emergency Contact #1 - Mobile*
Emergency Contact #1 - Relationship
Emergency Contact #2 - Name*
First Last
Emergency Contact #2 - Mobile*
Emergency Contact #2 - Relationship
Consent*
I am giving Food Rescue Hub permission to request, hold and use this information that I have supplied and in accordance with current GDPR process requirements as is necessary to my participation with FRH and associated agents working with us and or on our behalf.
I give my consent

We are all #foodrescuers here

Medical Info