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► UCSU Volunteering Registration Form

First Name:
Surname:
Student Number:
Campus Location:
Course of Study:
Year of Study:
Are you CRB checked?: YesNo
Date of Birth:    
Expected Year of Graduation:
Mobile Number:
Preferred Email Address:
I would like to get involved as a...  
Community Volunteer:
Course Representative:
Students' Group Leader:
Students' Union Volunteer:
Do you have any medical conditions
that we should know about?:
Yesno
If yes, please provide details below or speak to the Volunteer Coordinator
   
Do you have a disability, health problem or any additional needs we
need to take into account to support you in volunteering?:
Yesno
If yes, please provide details below of any additional support needs you may have or speak to the Volunteer Coordinator
By ticking the boxes below you agree that;
The information you provide will be used (by The Students' Union) to compile statistical information for internal               purposes
Your details may be disclosed, with your consent, to external volunteer agencies in Lancaster, Ambleside and Carlisle         (You may verify the data held at any time)
Photos may be taken of you and these may be used for publicity purposes in various forms of media
 
How do you describe your ethnic diversity? For statistical purposes only

Your registration is not complete until you receive the message 'submission successful'

You will receive confirmation of your registration by email. If you have any doubt about the status of your registration please email Emma at suvolunteering@cumbria.ac.uk

 
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