Sign up to be a litter pick champion

Personal details

First Name (Required)

Surname (Required)

Date of birth (Required)

Address

Address line 1 (Required)

Address line 2 / Ward

Postcode (Required)

Contact details

Your Email address (Required)

Your Phone number

Health conditions

Do you have any health conditions that may be effected when litter picking with us? We may contact you to offer advice and support as part of our risk assessment.
NoYes

If yes, please provide details (Required)

Do you define yourself as disabled?
NoYes

Do you currently have a carer or support worker?
NoYes

Emergency contact details

Name (Required)

Relationship to you (Required)

Before submitting your application you must agree to the following conditions:

I declare that the information given on this form is true to the best of my knowledge and belief.
I agree to:
- Adhere to the safe working practices outlined in my Litter Champion Handbook/Training.
- Always use the safe litter picking equipment and Personal Protective equipment supplied in the Litter Champion lockers
- Be responsible for any children that are litter picking with me.
- Only pick up litter and report anything else (fly tipping/ hazardous litter). Reporting channels are detailed in the Litter Champion Training/ Handbook
- Be respectful of other volunteers, members of staff and the general public.
- Record my litter picks and inform the Love Where You Live team regularly about my activities.
- Let the Love Where You Live team know as soon as possible of any changes of circumstances.
- Return the equipment to the hub locker as I would expect to find it and report any damages.
- Let the Love Where You Live team know if I am unhappy or concerned about anything, or if I wish to stop volunteering.

I agree to these conditions

The information that you provide in completing this form will be treated as confidential, in line with the requirements of the Data Protection Act 2018 and the General Data Protection Principles. Any data supplied by you on this form will be processed in accordance with Data Protection Act requirements and in supplying it you consent to the Council processing the data for the purpose for which it is supplied. All personal information provided will be treated in the strictest confidence and will only be used by the Council or disclosed to others for a purpose permitted by law. You can withdraw your consent at any time by contacting lovewhereyoulive@cardiff.gov.uk. In this event, we will stop the processing as soon as we can. However, this will not affect the lawfulness of any processing carried out before your withdrawal of consent. You also have a right to request a copy of the information we hold about you. If you would like to request a copy please contact us on the email address above. We will only retain your data for as long as we need it to meet our purposes, including any relating to legal, accounting, or reporting requirements. Your data will be held securely in accordance with the Council’s policies and procedures.