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Derbyshire Emergency Volunteer Form

Please fill in the application form below.


 Home
 Mobile
 Yes
 No
 Yes
 No
 Yes
 No
 Yes
 No
 Yes
 No
 Rest Centre Reception
 Assisting Vulnerable People
 Others As Requested
 Rest Centre Catering
 Assisting Information Telephones
 Yes
 No
 I agree
 
 

Terms and Conditions

As a member of DEV I am aware that I may be asked to assist in an emergency situation at any time. Upon receiving the call, it is my choice based on my own self assessment as to whether I am able to respond at that time.

I supply the following details so that I can be contacted should DEV be activated. If my details should change I shall inform the Emergency Planning Team.

If my personal circumstances change and I feel I am no longer able to be part of DEV I shall contact the Emergency Planning Team (permanently or temporarily).

I confirm that I will abide by Derbyshire County Council policies and procedures and Derbyshire Emergency Volunteers Handbook. I agree to undertake a Disclosure and Barring Service (DBS) check. Derbyshire County Council reserves the right to cancel a volunteer arrangement should the DBS check return with areas of concern highlighted or that they become aware of criminal activity or suspected criminal activity by a DEV member.

I, the undersigned give approval for my personal details to be supplied to the Emergency Planning Team for use should DEV be activated. I confirm my willingness for this information to be stored under the terms of the Data Protection Act 1998.

I understand that this agreement is binding in honour only, is not intended to be a legally binding contract between us and may be cancelled at any time at the discretion of either party. Neither of us intends any employment relationship to be created either now or at any time in the future.

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