Volunteer application form - Great North Air Ambulance Service

1Personal details

2Availability and Interests

3References

4Declaration

Name*
Title First name Last name
Email*
Phone*
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This is my
Home postcode*
Postcode
Home address*
Street Address Address Line 2 City Country
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- Or, enter address manually
Emergency contact name*
First Last
Emergency contact number*

Referee 1 - Name*
First Last
Referee 1 - Postcode*
Postcode
Referee 1 - Address
Street Address Address Line 2 City Country
Referee 1 - Phone*
Referee 1 - Email*
How does this person know you?*
Referee 2 - Name*
First Last
Referee 2 - Postcode*
Postcode
Referee 2 - Address
Street Address Address Line 2 City Country
Referee 2 - Phone*
Referee 2 - Email*
How does this person know you?*

Are you a former patient of the charity or know someone who is?*
- Yes
- No
Please tell us about your connection with GNAAS*
Please enter your date of birth*
Please note that if you are under the age of 18 you will need a legal guardian to accompany you with the volunteering activity.
DD slash MM slash YYYY
Declaration

Please be assured that we will not share or sell your data. In accordance with the Data protection Act 2018, I give my consent for the information in this form to be processed by the Great North Air Ambulance Service for the purpose of volunteering. I understand that if I am offered a volunteering role, this application form will become part of my volunteer file and record. If I am not offered a role, it will be stored for three months and then destroyed. I understand that the Great North Air Ambulance Service will require me to undertake training relevant to the role, and expects me to follow organisational policies and procedures.

I certify that the information given on this form is correct and that should any false statements or omissions be made, a volunteer role may not be offered. Please read the declaration above and tick the following box to confirm you agree with this declaration.
Confirmation*
- I confirm I understand and agree with the declaration
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Is admin user
- Yes
Staff Marketing Consent Script
We'd love to keep you up-to-date with our life-saving missions and how you can help us rescue more people through fundraising, events and volunteering. Would you prefer this by email, SMS or both?

We may also occasionally contact you by post or phone. You can tell me now or at any point in the future if you’d prefer us not to do this. [For background – it is unlikely that we would contact them more than four times a year by phone/post]
How would you like to hear from us?
We'd love to keep you up-to-date with our lifesaving missions and how you can help us rescue more people through fundraising, events and volunteering. Please let us know how you'd like to hear from us.
- Email
- SMS
We also communicate with supporters by post or telephone to tell you more about our critical care service and the exciting ways you can support us. You can read more about this in our Privacy Policy or you can click here to not receive communications this way.
Opt-Out of communications by
- Post
- Telephone
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Interview Date
DD slash MM slash YYYY
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Interview Time

Hours :

Minutes
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Interviewer Name