Befriending Senior – Aishah Help

Dear Senior,

Thank you for enquiring about our befriending service with Aishah Help, we appreciate the time you have taken to reach out to us.

Our befriending volunteers help provide a service to senior people living in Tower Hamlets, Newham & Hackney, either directly or indirectly.

To apply please complete the online application form as fully as possible before submitting.

If you have any difficulty in either completing the application form from your computer, do contact us to request a paper version of the form which can be sent to you by post.

All information regarding your application is kept confidential. We look forward to receiving your application form and contacting you to arrange a time and date to discuss your specific needs. Please feel free to contact us, if you have any questions about the service.

Application form to become a senior befriender

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Are you applying:

For yourself
For someone else
As a lead professional or agency

Welcome to Aishah Help Befriending Service

Senior Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone

Equality and Diversity

Aishah Help wants to meet the aims and commitments regarding equality and diversity for our volunteers. This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the volunteers in encouraging equality and diversity. The organisation needs your help and co-operation to enable it to do this:

Gender

Date of birth

Ethnicity

More about you

Please tell us about yourself

Emergency Contact Person

Name

First

Last

Phone

Consent form

In order for us to work with you, we need to record your personal details and information about the service(s) you are volunteering in. To comply with the Data Protection Act (2018) and the GDPR we must tell you how we use this data and ask for your permission. By ticking the boxes and signing this form you are providing your permission for us to process your data for the purposes below.

True and correct

I confirm that the information I have supplied is true and correct to the best of my knowledge. I understand that any false or undisclosed information could result in the closure of my application for assistance.

Legal and Preference: Keeping in touch

Telephone
Email
SMS
Letter

We would like to keep you posted on our latest news about financial help available, our work, appeals and campaigns. Please let us know how you would like to hear from us.

I hereby consent

Aishah Help to share anonymised information about me and my volunteering with funders & in training to help show the impact of the service and help ensure it continues. using images of myself captured in video recordings, and/or photographs, taken/recorded.