PFWCA UK Volunteer Registration Form

Name*

Last name*

Your email*

Date of Birth*

Phone Number*

Are you a medical professional?*

Yes

No

Are you registered with a professional regulatory body (e.g NMC, GMC, GPhC)?*

Yes

No

Not Applicable

How often are you available to volunteer ?*

Once a month

Every few months

Flexible / as needed

DBS & Safeguarding (Disclosure and Barring Service )*

Yes, Enhanced DBS (Issued within the last 3 years)

Yes, Basic DBS

No, I am willing to apply for one

Have you completed safeguarding training in the last 2 years?*

Yes

No, i am willing to complete it

Not sure

Languages spoken (Other than English ):*

Do you have any relevant skills or experience you'd like to tell us about?*

Declarations*

I confirm that the information i provided is accurate and true to the best of my knowledge

I understand that volunteering with PFWCA UK is unpaid and that i will be representing the organisations at events and activities.

I agree to abide by PFWCA UK's Volunteer code of conduct , safeguarding policy, and Data Protection Policy

I give consent for PFWCA UK to contact me with volunteer opportunities, event updates, and organisational news (You can unsubscribe at any time)

I give consent for PFWCA UK to store and process my personal data in accordance with the UK GDPR and the organisation's Privacy Policy.

Thank you for wanting to make a difference.

Please complete this form and a member of our team

will be in touch within 5 working days.

PFWCA UK team members standing together at a community health event.

Volunteers getting ready for May 2024 free medical outreach

Volunteers represented from Nigeria and the UK

Nigeria team members at a community health event.

A dedicated PFWCA volunteer assisting with event logistics and registration

Volunteer member in Benin city on an event day

HELP

CONTACT

📧 admin@pfwca.org

📞 +44 7344 964067

PFWCA UK Limited is a non-profit organisation registered in the United Kingdom: 17139325

Registered with CAC Nigeria: CAC/IT7532221

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