Coronavirus

Dudley Council
Dudley Skyline

Thank you for volunteering to be a Dudley COVID-19 Community Champion. This form will collect your contact details, how you would like to be contacted, if you require resources in any other languages and your availability to attend webinars.

Data Protection

Your personal data will be confidential and used only to contact you about being a Dudley COVID-19 Community Champion.

The information you provide will be processed in accordance with the Data Protection Act 2018, which ensures that the Council and its employees protect the confidentiality of data collected from individuals. We will only use the personal information you provide to deliver the services you have requested, or for our lawful, disclosed purposes. We will not make your personal details available outside our organisation without your consent, unless obliged by law.

For further information please refer to the Council's privacy notice or email information.governance@dudley.gov.uk

Volunteer to be a Dudley COVID-19 Community Champion

Form field contents

About You

- No spaces
- If you are a Dudley resident, please provide your home address. If you work in Dudley but reside in another authority, please provide your work address.

Please let us know if it would be useful to have the information in specific languages

- tick all that apply









Communication

How would you like us to communicate with you?

- tick all that apply





- please state

Availability

Time preference for attending induction / briefing webinars

- tick all that apply