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Tea Parties with Friends

Apply

Fill in the form below to apply to join as a volunteer and help reduce loneliness and isolation amongst older people.

*If you haven't already, please carefully read the information on the How it works page to double check you meet all the requirements for the role you are applying for.*

    Title
    First name
    Last name
    Date of Birth (dd/mm/yyyy)
    Address
    Town
    County
    Postcode
    Home Telephone
    Work Telephone
    Mobile Telephone
    Email address
    Company Name (if applicable)
    Please tell us where you heard of Contact the Elderly?
    Volunteering roles
    Regular Driver - one Sunday afternoon a month
    Coordinator - to ensure smooth running of the group
    Volunteer Area Organiser
    Reserve Driver - to help occasionally
    Host a tea party once or twice a year
    Do you have any criminal convictions which are not legally spent?
    Yes
    No

    Volunteer Driver Details

    Car Details

    Please enter car make and type

    Registration Number

    Car registration

    Number of seats in your vehicle
    Number of seat belts
    Number of doors on your vehicle
    Insurance
    Comprehensive
    3rd Party Only
    Do you have a full driver' license
    Full License
    Provisional license
    Endorsements

    Please list any extra license endorsements

    REFEREE INFORMATION

    Please give details of two people who will provide a personal reference for you (they can NOT be a partner of a member of your family)

    DETAILS OF FIRST REFEREE

    Referee 1 Name
    First name
    Surname
    Referee 1 Address
    Address Line 1
    Address Line 2
    City / Town
    County
    Postcode
    Referee 1 Telephone Number
    Referee 1 Email Address
    Referee 1 Relationship

    DETAILS OF SECOND REFEREE

    Referee 2 Name
    First name
    Surname
    Referee 2 Address
    Address Line 1
    Address Line 2
    City / Town
    County
    Postcode
    Referee 2 Telephone Number
    Referee 2 Email Address
    Referee 2 Relationship

    Volunteer Host Details

    Number of steps
    Number of steps to be negotiated
    Downstairs Toilets
    Yes
    No
    Parking and access to your house

    Please give details of parking at your home and any relevant information about access to your house including steps.

    All Applicants

    Data Protection Act: I understand and agree that, as part of a Contact the Elderly Group, my details will be held in a confidential database that is only used for communications within the Charity. I confirm that the above information is correct and that I agree to my details being held as set out above. Please tick the box to confirm.

    I agree to the terms