Volunteer Registration form

 
Name
Email
Address

Gender

M F

 

What area of Norfolk are you from?

Northern Norfolk
Gt. Yarmouth & Waveney
Southern Norfolk
West Norfolk
Norwich

Further Information

Would you like to be sent the current monthly list of involvement opportunities?
Would you like to be sent quarterly ISU consultation?
Would you like to go on the ISU database
Would you like to be sent the ISU Welcome Pack & Handbook?

 

Where did you hear about ISU?

 

Do you have any comments about the Mental Health Services you have received or are receiving?

Data Protection:

  The information on this form is required for Meridian East's paper records and electronic data to help us offer you an appropriate service, meet health and safety requirements, have information available in the case of an emergency and provide statistics to the bodies who fund us. Where appropriate we may also, in consultation with you, pass relevant information to other organisations that may be able to help you. We require your signed consent to using your information in this way, and your agreement to this referral.

I agree to the use of my data by Meridian East as described above . Our DPA registration number is Z880447X; this covers Meridian East as a Data Controller