Volunteering role
Buddy Volunteer (for those who want to support others in the group)
Have a Grow (for those who just want to learn about using an allotment without the commitment)
Lettuce Grow Together (for those who feel isolated or experience a physical or mental health condition or disability)
Your full name
*
First Name
Last Name
Current address & postcode
*
Telephone Number
*
Telephone Number (mobile)
*
Email address
*
Person 1 / Name
Address
Email
Telephone Numbers
How does this person know you?
Person 2 / Name
Address
Email
Telephone Numbers
How does this person know you?
Do you have any previous gardening experience?
Yes
No
Please tell us what you hope to gain from volunteering on the Community Allotment:
Preferred session
*
Do you have a preferred session or one you would most likely attend?
Sessions run weekly, except on bank holidays. You do not need to commit to all sessions, and can be flexible with which session you attend.
Tuesdays 10am-12pm
Fridays 10am-12pm
Not sure
Both
Employment Status:
Employed
Retired
Student
Looking after family/home
Job seeker
Unable to work
How did you hear about the Community Allotment?
Do you have a medical condition, disability, or needs we should be aware of?
Yes
No
If “Yes” please give us brief details
Are you able to attend the sessions independently?
*
Yes, I don't need assistance or supervision
No, I will bring a trusted guardian
Are you?
Male
Female
Other
Prefer not to say
Please tell us your age
Is English your first language?
Yes
No
What is your ethnicity?
White British
White Irish
Gypsy or Irish Traveler
Other White background
Indian
Pakistani
Bangladeshi
Chinese
Other Asian Background
Caribbean
African
Any other Black/African/Caribbean
Arab
Other
Prefer not to say
In accordance with the Data protection Act 2018, by submitting your application you agree that Walton Charity may hold your personal information including names, addresses, e-mail addresses and telephone numbers. If requested your information will also be shared with our insurers but apart from that it will not be shared with other organisations without your prior agreement. You also agree that Walton Charity may contact you about any matter using e-mail, letter, telephone or other media. All personal information held by the charity will be deleted up to 2 years after this agreement has been terminated.
*
First Name
Last Name
Date
*
MM
DD
YYYY
Do you use WhatsApp and would want to be added to our broadcast channel to receive regular updates about the community allotment?
Yes
No
Maybe