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Your details

Which of these best describes you current situation ( please tick one only)

References

Please provide details of two Referees (they must not be relatives or reside at the same address as you)

Referee 1

Referee 2

Emergency Contact

Equality and diversity Form

Gender
What is your Sexual Orientation?
What is your Ethnicity?
Marriage and Civil Partnership?
What is your Religion or Belief?
Do you have Caring responsibilities?
Do you consider yourself to be disabled?
Pregnancy & Maternity/Paternity

Consent form

I give consent for Age UK East London to record and use my personal information and details to help with my volunteer role(s). I understand my record will be kept for 6 years only after the last recorded intervention
I give consent for Age UK East London to contact my referee’s via email or letter
I give consent for Age UK East London to contact me for feedback re my volunteering
I give consent for Age UK East London to share anonymised information about me and my volunteering with funders & in training to help show the impact of the service and help ensure it continues

There are some Age UK East London projects that need to submit monitoring information to the Lead Partner Organisation/ funder(s). On these occasions we will forward your details to the organisation who will store this information on a secure internal recording mechanism.

Samples of Age UK East London’s case files are checked by external auditors to check the quality of our service.  They have a professional duty to keep all information confidential.  We will only let them see files where we have consent to do so.

I consent to external assessors looking at my case file
Multiple or single I consent to being contacted by the following methods (please tick those you are happy with) choice

Useful information about privacy and consent