Timebank Enrolment Form

Your Details
Disability & Health Issues

The Disability Discrimination Act 1995 (DDA) defines a person as disabled if they have a physical or mental impairment which has a substantial and long term adverse effect on a person’s ability to carry out normal day-to-day activities. This definition includes conditions such as cancer, HIV, mental illness or learning difficulties.

Education/Employment
Your Volunteering
Disclosure

I CONFIRM THAT THE ABOVE INFORMATION IS CORRECT TO THE BEST OF MY KNOWLEDGE. As part of this service and to continue securing funding we have to collect some data from the young people we work with for monitoring, evaluation and safeguarding purposes. The databases are secure and password protected and can only be used by approved people. If you would like more information please contact us. I give permission under the Data Protection Act for this information to be held on your database, and to be given to any of the Your Way partners and other voluntary or charitable organisation with which I may become a volunteer.

Parental Consent

If you are under 16 then we need your parent or guardian’s written consent; please complete & submit this online registration form and then get their written consent please which you can scan to us or e-mail a photo to us: [email protected]

A parental consent form can be downloaded at the below address:
https://www.volunteercornwall.org.uk/Handlers/Download.ashx?IDMF=2627efd9-696a-4296-94fc-5933fce469a8

We cannot activate your registration on Timebank until we have all of this information.