Volunteer Information Form

First Name:

Last Name:

Email:

Phone:

Volunteer Role: –None–VetRVNSupport

Outreach location: –None–BirminghamBournemouthBrightonBristolCambridgeCentral SupportCornwallGlasgowGloucesterHastingsHertsLiverpoolLondonNorwichPeterboroughPlymouthPortsmouthReadingSwanseaTorquay

RCVS Registration Number:

Please let us know if you have any additional skills or qualifications that you are happy to use within your role as a StreetVet Volunteer:

Please let us know your emergency contact details.

Emergency Contact Name:

Emergency Contact Relationship: –None–SpousePartnerFriendParentSiblingOther

Emergency Contact Phone Number:

I have read and understand the Streetvet Code of Conduct.

I have read and understand StreetVet’s Social Media policy.

I give consent to StreetVet to use any photos or videos taken of me in my role as a volunteer for marketing purposes.

I would like to receive charity updates from Streetvet.

Email

Text

From time to time we may contact you by post and phone about our latest news, services and other ways you can get involved and support us. You can ask us to stop at any time. If you do not wish to hear from us, tick the box.

By submitting this form, I understand that StreetVet will contact me about my role as a volunteer. If you would like to know more about how we use your personal data please see our Privacy Policy here.

Thank you for completing the Volunteer Information Form. We will be in touch soon with next steps.