Essex Coronavirus Action - Volunteer Signup
PLEASE READ THIS INFORMATION CAREFULLY. YOU WILL BE REQUIRED TO ELECTRONICALLY SIGN THE DECLARATION AT THE END OF THIS FORM TO SHOW THAT YOU HAVE READ AND UNDERSTOOD EVERYTHING IN THIS SECTION.

This form is for any member of the public in Essex who wants to volunteer and help in their local community with vulnerable or self-isolating people during the Coronavirus / Covid-19 outbreak.

Essex Coronavirus Action is a collaboration between Essex County Council, The Essex Public Health Team, and local Facebook groups to ensure that support assistance reaches the people who need it the most.

Once you have submitted this form, a member of the Essex Coronavirus Team will be in touch at the earliest possible opportunity. Please bear in mind that there may be a small delay due to the volume of people who are contacting us.

IMPORTANT INFORMATION REGARDING YOUR PERSONAL SAFETY AND THE WELLBEING OF OTHERS

It goes without saying that Covid-19 / Coronavirus is contagious. Therefore, it is your responsibility to ensure that you are only spreading kindness when volunteering in your local community. Wherever possible and practical to do so, please avoid physical contact and maintain a distance of at least TWO METRES between yourself and others while volunteering, and wash your hands regularly in line with the latest government advice. If you are delivering items, please leave them on the doorstep and let the recipient know that they are ready to be picked up.

IMPORTANT INFORMATION REGARDING THE USE OF YOUR PERSONAL INFORMATION

Any information submitted using this form will be stored by Essex County Council and only accessed by Essex County Council and those working on their behalf in accordance with their current GDPR and data protection policies. It may be shared with Provide, an organisation that works alongside Essex County Council, and other approved partners solely for the purposes of making sure that respondents are connected directly with members of their local community who are organising volunteering efforts.

For your information, you can read the relevant Essex County Council policies regarding data protection and GDPR at https://assets.ctfassets.net/knkzaf64jx5x/3ELBevLgnrxOqwr6i6EEME/95985ec440b441efcad32067836105f5/Privacy_notice_easy_read_guide.pdf

We are very pleased you have agreed to volunteer  as part of the Government’s initiative to provide support to the most vulnerable people in Essex either by the delivery of food or medicine or providing support to people who may be feeling isolated.

As part of this you will receive contact details of very vulnerable people.  

It is important that we respect their privacy and safety.  For this reason you need to agree that:

- You will not pass these details onto anyone else or use their details other than as part of your volunteering activity.

- You won’t keep records of where you have been for your own purposes, and any information you have will be returned to the collection point for secure destruction.

- If you have immediate concerns about someone’s welfare you will report this by calling the organisation you are volunteering for, or by calling social services on 0345 603 7630. For out of hours queries contact the Emergency Duty Service on 0345 606 1212.

- You will keep information secure and take reasonable precautions to prevent theft of information or it being disclosed inappropriately.

If you have any questions, please contact Kirsty O'Callaghan, Head of Strengthening Communities at Essex County Council. Email: kirsty.ocallaghan@essex.gov.uk

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Email *
Your Full Name *
Date Of Birth *
If you are under 16 years of age, we may need to contact your parent / guardian / carer for permission.
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Address *
Please enter your full address WITHOUT POSTCODE. Please put your postcode in the next box.
Postcode *
Please enter your full postcode here.
In what area would you be available to volunteer? *
Required
Telephone Number *
Please enter your full landline or mobile telephone number, including an area code.
Tasks You Are Willing To Help With *
If someone in your local community is self-isolating, caring for someone who is self-isolating, or generally not in a position to leave their home, what tasks would you be willing to help with? Please select all that apply.
Required
High-Demand Tasks You Would Be Willing To Help With
We have identified the following as urgent areas where volunteers are required. Please indicate below if you are able to help.
Would You Be Willing To Volunteer With Your Local Food Bank? *
We are currently gathering volunteers specifically to help their local food bank. This could include a wide variety of tasks, including delivering items to people who are unable to leave their home or gathering and transporting donations.
Would You Be Willing To Act As A 'Call Handler' From Home? *
Volunteering as a 'Call Handler' from home for the new Essex Welfare Service involves taking phone calls from members of the public and possibly making calls to make sure that vulnerable people in Essex are OK. Full training is provided.
Your Existing Skills And Experience *
Please select all of the relevant skills and experience that you have. PLEASE NOTE: In some circumstances you may be asked for proof / evidence of these.
Required
Would You Be Willing To Provide IT Support And Advice To Those Who Need It? *
For example, this could be teaching someone how to use a smartphone or tablet to make video calls to their family and friends, or helping with any other Internet-related activity.
Your Availability *
Are there any days or times when you are generally unavailable?
Travelling Distance *
How far are you prepared to travel to support someone? Please reply with a 'radius,' so for example, 'Within a ten-mile radius of Chelmsford.'
Do You Hold A Current And Valid DBS (Disclosure And Barring Service) Check? *
Are You Prepared To Make Welfare Calls On Behalf Of Primary Care Services? *
A 'Welfare Call' is literally just checking to make that someone is OK and how they are feeling in general. If you are concerned, all you would need to do is let your contact know about them.
Do You Have Any Immunity-Related Conditions Or Other Illnesses That May Make It Unsafe For You To Carry Out Volunteering During The Coronavirus / Covid-19 Outbreak? *
Sorry - we have to ask this question. If required, please provide full details in the next question box, and a member of our team may contact you for more details. Above all else, your own wellbeing is paramount.
If You Answered 'Yes' To The Last Question, Please Provide Details Below.
Please provide as much information as possible.
Do You Wish To Add Any Additional Information?
This is optional.
Essex Coronavirus Action On Facebook *
Have you 'Liked' the Essex Coronavirus Action page on Facebook? This is the easiest way to keep up to date with the latest announcements and news about Covid-19 and volunteering to help in Essex. Search for 'Essex Coronavirus Action.'
DECLARATION *
Please enter your full name below to confirm that you have read and understood the information at the top of this form. We strongly recommend taking a few moments to read it again before completing this box. PLEASE REMEMBER that any information submitted through this form will be shared with Essex County Council and key partners for this project.
A copy of your responses will be emailed to the address you provided.
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