Volunteer Form

Name*

Prefix First Last

Address*

Street Address Address Line 2 City ZIP / Postal Code

Date of Birth*

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

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