Step Forward Into Volunteering and Employment Self-Referral Form

Your name
Email
Telephone number
Date of birth (Please enter as dd/mm/yy)
Your address
Where you currently live
AllerdaleCarlisleCopelandEden
Do you have a criminal record?
YesNo
How would you prefer your sessions?
Face-to-faceOnline
In your own words please can you explain your mental health experiences and challenges.
At this point of the process, you can share as much or as little as you feel comfortable with.
Data protection: Data Protection: For the purposes of General Data Protection Regulations 2018, the data controller in respect of your personal data is Cumbria CVS. Your data will be used to administer this StepForward referral or volunteering enquiry. Your information will only be shared with Step Forward partners and will not be shared with any other third party without your prior permission and will be disposed of in line with our Document Retention Policy. As regards sending information regarding our services, we will do this until such time as you ask us not to.

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