Volunteer and Carer Registration Use this form to register yourself if you are volunteering to provide support to vulnerable people in an area of Ulverston, or if you are caring for an elderly, disabled or vulnerable person. The Ulverston Covid19 Steering Group aims to provide information and support to you. The group cannot provide medical advice or support. Card number from yellow labelYour Name* First Last Home Address* Street Address Address Line 2 Town Postcode Email* Home PhoneMobile PhoneYour OrganisationIf applicable.Volunteer or Carer*Are you volunteering to support an Ulverston neighbourhood, or are you caring for a specific person or group of people? Tick each box that applies to you. Neighbourhood volunteer Carer of elderly, disabled, or vulnerable person Volunteer co-ordinator DBS Checked*Please let us know if you are already DBS checked.Yes I am currently DBS checkedNo I am not DBS checkedI may be DBS checked but am not sureDBS Check OrganisationWhich organisation requested your DBS Check?What would you be prepared to do?*This is an initial list, and it is not exhaustive. We ask that you only choose things you would be willing to do, although we would understand your circumstances may change. Tick each box that applies to you. Check in via phone with people who may need it Help a vulnerable person with practicalities (e.g. food deliveries, online shopping etc) Be a street champion on your street (ensuring there is a coordinated local response) Adding capacity to key services (e.g. care homes) in case of staff shortages Regular caring for a specific family member or friend Walking a dog Help with organising and co-ordinating volunteers Other (describe in the Comments box below) CommentsPlease provide any other information that will help us to understand you and support your needs.Terms of Service*Please read the Terms of Service and tick the box to indicate your agreement.I confirm that I am a resident or organisation located in the Ulverston LA12 postcode area. I agree that personal data relating to me which has been obtained by Ulverston Ltd, including the personal data given by me on this form, may be held and processed either on computer or in manual records by Ulverston Ltd and members of the Ulverston Covid19 Steering Group, for any purpose relating to my voluntary work. I consent to being contacted by Ulverston Ltd and the Covid19 Steering Group. I agree to the Terms of Service This iframe contains the logic required to handle Ajax powered Gravity Forms.