Name
*
First Name
Last Name
Email
Mobile
Landline
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth
MM
DD
YYYY
Gender
Which walk(s) are you interested in supporting. Please tick all that apply
Please advise of present/previous volunteer/paid employment experience relevant to your application and why you are interested in the position:
Please let us know a bit about your availability.
Your health
Have you been diagnosed by your doctor or health professional with any of the following? Please click all that apply
Is there any other medical information it is important for us to know about?
Do you consider yourself disabled?
Is there any support you feel you might need from us to volunteer?
Do you hold a valid first aid certificate?
If yes, which agency delivered it?
What is the expiry date?
Your current activity levels
Recently, how many days a week have you been physically active for 30 minutes or more? Include anything that makes your breathe deeper, your heart beat a little faster and makes you feel warmer.
Your reasons
What are your main reasons for choosing to volunteer? Please click all that apply
Please tell us of any other reasons (if any)
How did you find out about us?
How did you hear about us. Please check all that apply
Other?
Emergency Contact
First Name
Last Name
Relationship to you
Email
Phone number
Referee 1
First Name
Last Name
Email
Phone
Address
(If no email)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Relationship
Referee 2
First Name
Last Name
Email
Phone
Address
(if no email)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Relationship
Photo Permission
Occasionally, Partnerships for Wellbeing would like to take photographs and/or videos of you for the following purposes:
1. To use the photos/videos on our website and on social media pages.,
2. To use the photos/videos offline in our newsletters and updates to volunteers and users of our services.
3. For use in promotional materials, publications, in articles and potentially for publicity/marketing purposes.
4. To share with media or local press.
You can withdraw consent for this at any time. Email kate@p4w.org.uk if you change your
mind. Note: this will not apply to material already published.
Your privacy
*
Partnerships for Wellbeing will store and process this information in order to manage our walking project and to communicate with you about resources, fundraising and other P4W activities. We will share your information with Paths for All for the purpose of managing the national health walk network, of which we are a member. Walk leaders will have access to this information for your safety and to manage the walks. If you are a member of the Nairn group your details will be shared with Chest, Heart and Stroke Scotland.
We utilise a management software programme called coacha to store your information. Details of their terms and conditions can be found here (copy and paste into browser) https://www.coacha.co.uk/More/Legal/Terms-of-Service#NominatedUserTermsOfService
For full details see our privacy policy here (copy and paste into browser) https://www.p4w.org.uk/privacy-policy
The information you enter into this form will be collected and stored by Partnerships for Wellbeing in the ways described above. Tick the tickbox below to confirm you understand. *
