Sign up to be a litter pick champion

    Personal details

    Do you have any health problems, medication, or allergies we need to know about, so that we can look after your health and safety whilst you are volunteering with us?

    Do you define yourself as disabled?

    Do you currently have a carer or support worker?


    Contact details

    Emergency contact details


    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 have read the Love Where You Live Volunteer Handbook.
    • I understand what is expected of me, and what is not expected of me
    • I understand and agree to follow all safety guidance

    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 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.

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