Volunteer Form

This is not an application form. This form is for registering your interest in volunteering for basis. *

I Understand

Name *

First

Last

Address *

Town *

County *

Postcode *

Preferred Contact Number *

Other Contact Number

Email *

Date of Birth

Availability

1-2 Hours Weekly
2-4 Hours Weekly
4-5 Hours Weekly
5+ Hours Weekly
10+ Hours Weekly

Area of Interest

Befriending
Arts and Crafts
Computers

Information on our database is strictly confidential and we do not pass on any personal data about you to outside organisations and/or individuals without your express personal consent. Please tick to indicate that you agree that we may keep the information from this form on our systems and use it to contact you regarding your application *

I agree.

Message

What we do

The BASIS mission is to empower and enable visually impaired people to be as independent as possible by providing training, information and support for adults with sight loss.

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Thank you for considering a donation to BASIS. For your security, payments can processed by Paypal. If you wish to make the same donation each month, please tick the RECURRING BOX.

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