1 in 4 people suffer from loneliness
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Personal Information

Your Name*

Your Email*

Address*

Postcode*

Tel number*

Next of Kin (name and tel no.)*

Do you have a current DBS (previously CRB)? It is useful for us to know if you have a DBS in your current role
YesNo

Volunteering opportunities:

Please tick which volunteering opportunities you would be interested in.

Raise awareness of Marmalade Trust

Help us to organise events – planning etc.

Work based/skilled - admin, marketing, IT, chef etc.

Christmas 2019

Fundraising

Other – do you have a specialist interest or skill?

Anything else you think we should know? (including specific skills/areas of interest etc)

Christmas 2019

If you are interested in volunteering for Christmas 2019 please tick the role you would like to apply for.

Lead volunteer (manage an event on Christmas day)Driver volunteer (drive a guest on Christmas day)General Volunteer (help out during a Christmas event)

It is helpful for us to have a few health professionals among our Christmas volunteer team as a small number of our Members have slightly higher needs.

Please tick the box below if you are a healthcare professional:

Healthcare professional

If Yes, in what capacity?

And/or do you have experience supporting any of the following groups of people:

People with mild dementia

People with mild learning disabilities

People with mild mental health problems

Please note that experience of working with any of the above groups is not essential for our volunteer roles so please still apply!

Drivers

If you intend to be a driver volunteer for Christmas please provide full details about your car. So we can match you with a suitable guest.

Car type:

Seats:

Doors:

Do you wish to receive the Marmalade newsletter?


Here at Marmalade Trust we take your privacy seriously. We do not pass your data onto third parties for marketing purposes. We will only use your data for the purposes set out in the form above. You may ask us to remove your data at any time by contacting us on info@marmaladetrust.org.

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Personal Information

Your Name*

Your Email*

Address*

Postcode*

Tel number*

Next of Kin (name and tel no.)*

Do you have a current DBS? (previously known as CRB?)
YesNo

Anything else you think we should know? (including specific skills/areas of interest etc)

For Drivers:

Car type:

Seats:

Doors:

Volunteering options

Please tick which Christmas role you would like to apply for and/or what other volunteering opportunities you are interested in…

Christmas 2018:

Lead VolunteerDriving Volunteer (two-ways)Driving Volunteer (one-way a.m.)Driving Volunteer (one-way p.m.)General Volunteer

It is helpful for us to have a few health professionals among our Christmas volunteer team as a small number of our guests have slightly higher needs.

Are you a health professional?

If Yes, in what capacity?

And/or do you have experience supporting any of the following groups of people:

People with mild dementia

People with mild learning disabilities

People with mild mental health problems

Please note that experience of working with any of the above groups is not essential for our volunteer roles so please still apply!

Other volunteering opportunities:

Help us to raise funds for Christmas and events (e.g. organising a cake sale; making decorations etc)Raise awareness of Marmalade TrustHelp us to organise events – planning etc.Other – do you have a specialist interest or skill?


Marmalade’s Christmas Cheer

Christmas Day Guest Referral Form

Referral details

Your Email*

Date of referral:

Referrer's name:

Referrer's email address:

Referrer tel number:

Referral organisation:

How did you find out about us?

Would the person (guest) you’re referring otherwise be on their own on Christmas Day?
YesNo

Has the person consented for Marmalade Trust to contact them?

Guest’s details:

Full name:

Tel number:

Address:

DOB:

Email:

GP surgery:

Next of Kin details:

Full name:

Tel number:

Relationship to guest:

Email:

Mobility/Health information:

Mobility/transfer ability:

Any other health concern? (e.g. sensory impairment/long-term care)

Any other comments/issues we should be aware of?

Please note that a Marmalade health professional calls each guest prior to Christmas Day to carry out a short telephone health and risk assessment. In some circumstances a home visit may be arranged. We will only use your data in conjunction with Marmalade's Christmas Cheer Event.

If you have any questions please email info@marmaladetrust.org.