Volunteer Fill in this form if you would like to volunteer for one of the opportunities you have seen on our site. Your contact detailsName* First Last Date of birth* Date Format: MM slash DD slash YYYY Email* Phone*Address* Street Address Address Line 2 City County Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country What area/district/neighbourhood do you live in?Choose an areaAll of ExeterBarne BartonBeacon ParkCallington / LauncestonCamels HeadChaddlewoodCity Centre & the WaterfrontColebrookDartmoor / TavistockDerriford West & CrownhillDevonportEastendEffordEggbucklandElburton & DunstoneErnesettleEstover, Glenholt & Derriford EastFordGoosewellGreenbank & UniversityHam & PennycrossHigher Compton & MannameadHonicknowle & West ParkKeyhamLee Mill / IvybridgeLeigham & MainstoneLipson & LairaLooe / Tideford / LandrakeManadon & WideyMorice TownMount GouldMutleyN. DevonNewnham & RidgewayNorth Prospect & Weston MillPeverall & HartleyPlympton St Maurice, Underwood & YealmpstonePlymstock & RadfordSaltashSouthwaySt Budeaux & Kings TamertonStokeStonehouseTamerton FoliotTorbayTorpointTurnchapel, Hooe, Oreston & MountbattenWhitleighWidewellWoodfordAbout youAre you aged 18-69?*Older age groups are still deemed to be at risk by the Vaccine centre organisers so are unable to carry those rolesYesNoAre you fit and well with no symptoms of coronavirus, and not in the higher-risk groups?*High risk groups include those who are pregnant or with underlying medical conditionsYesNoDo you hold a DBS certificate?*Select category that best covers your DBS status.Yes (within past 12 months)Yes (older than 12 months)NoDo you have basic life support training or experience?*Select category that best covers your Life Support status.Yes (within past 12 months)Yes (older than 12 months)NoDo you have transport?*Please give details of your available transport or state none.Which area do you wish to volunteer for?PlymouthExeterNorth DevonTorbayWe may need to share your information with our trusted partners to meet the volunteering needs. Is this ok?*YesNoWhat you can offerWhich role would you like to volunteer for?*Is there anything else you would like us to know?Voluntary post being applied forPhoneThis field is for validation purposes and should be left unchanged. TweetSharePinShare
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