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  1. First name:(*)
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  2. Last name:(*)
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  3. Email address:(*)
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  4. Confirm your email address:(*)
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  5. Address 1(*)
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  6. Address 2(*)
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  7. Address 3
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  8. Postcode(*)
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  9. Contact phone number:(*)
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  10. There are sometimes regional variances in our volunteering opportunities. To ensure we can support you in the most appropriate way please could you supply your location details: (*)
  11. Select your region
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  12. Do you have experience of caring? (*)
  13. (*)
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  14. Which role(s) would you like to apply for? Please select no more than two. (*)
  15. (*)

    Please tell us which role(s) you would like to apply for
  16. Organisation
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  17. The Online Community Host role for the Carers Forum requires you to have a good empathic understanding of being an unpaid carer. Can you tell us a little about why you would be interested in this volunteering role and your relevant experiences?
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  18. How did you hear about volunteering with Carers UK?(*)
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  19. Please submit details of two references. Your references will only be contacted if you accept the volunteering role.
  20. Reference name(*)
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  21. Reference occupation(*)
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  22. Reference email address(*)
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  23. Reference phone number(*)
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  24. Reference address(*)
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  25. Reference postcode(*)
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  26. Reference name(*)
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  27. Reference occupation(*)
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  28. Reference email address(*)
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  29. Reference phone number(*)
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  30. Reference address(*)
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  31. Reference postcode(*)
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  32. Do you have any questions about volunteering with Carers UK?
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  34. (*)
    Please tick this box to let us now that you have read and understood the Volunteer agreement
  35. (*)
    Please tick this box to let us now that you have read and understood the privacy policy
  36. Please note that by completing and submitting this form you agree that we may add your contact details to Carers UK’s database. Volunteers on the database will receive regular updates on Carers UK’s volunteering programme and invites to relevant events. We will occasionally send you resources and other materials by post. Your contact details will never be sold or rented to third parties outside of Carers UK. You can unsubscribe from Carers UK’s database at any time should you no longer wish to volunteer with us. If you do wish to unsubscribe please email Carers UK reserves the right to decline applications.
  37. Please type the letters / numbers you see.(*)
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