Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Are you part of St. Swithin's Church Lincoln *

Yes

No

Are you part of a Neighbourhub at St. Swithin's Church Lincoln *

Yes

No

Please tick all that apply to you > *

These are NOT necessary for some of our activities - everyone can be involved! But it is helpful to know if you are able to drive, or if you have a DBS check.

I am aged 18 or over

I have a clean drivers licence & have a car

I am DBS checked with St. Swithin's Church Lincoln

I have a DBS check with another organisation that is on the registered DBS Update Service

What ways would you be happy to be involved> *

Depot Team

Delivery Team

Phone Friends Team

Night Light Cafe

LYN Cafe

CAP Money Course

Employment

We will only use your details to put you in contact with persons in need of assistance. If you would like to know more about how we handle your details, please see our Privacy Policy below. Please be aware you may only use the personal data of persons in need for the purpose of St. Swithin’s Love Your Neighbour. You must not share the data with others or save any data to your personal devices. You will be required to delete the data once this programme is completed. Please tick this box if you agree to these requirements. *

Yes, I have read and agree