First Name:
Surname:
Student Number:
Campus Location:
Please Select...
Ambleside
Carlisle
Lancaster
Penrith
Course of Study:
Year of Study:
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1st
2nd
3rd
4th
Are you CRB checked?:
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Date of Birth:
Day
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Month
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Year
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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?:
Yes no
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?:
Yes no
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
Please Select...
Asian or Asian British - Bangladeshi
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Black or Black British - African
Chinese
Mixed - Asian and White
Mixed - White and Black Caribbean
Mixed - White and Black African
Other White Background
Other Asian Background
Other Black Background
Other Ethnic Background
Other Mixed Background
White - British
White - Irish
Information Refused
Not known
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