Test Transport Registration

Your Details

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Title *

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First Name *

Last Name *

Date of birth (dd/mm/yy)

Day

Month

Year

Address including postcode *0 / 250

Email Address *

Phone Number

Do you give permission to share your telephone number with your driver in case of emergency *YesNo

Are you able to use public transport? *YesNo

Do you have access to public transport? *YesNo

Do you have access to a car, own or family? *YesNo

Are you rurally isolated? *YesNo

Why do you want to register/use our service? *

Do you have a District Council Bus Pass? *YesNo

Bus Pass Number: (Last 4 digits)

How did you hear about us?

Next of kin/emergency contact

Mobility and Health

Do you have any Health problems we need to be aware of? *YesNo

Is your mobility limited? *YesNo

Please explain:

Wheelchair user? *YesNo

Manual or electric?ManualElectric

Can you transfer from your wheelchair to car unaided?ManualElectric

Walking Frame/sticks? *YesNo

For Minibus users only:

Do you have to travel in a wheelchair?YesNo

Do you require a tail-lift to get onto the minibus?YesNo

Do you need someone to go with you as an escort?YesNo

Is there any other help or advice we can offer to help meet your needs? e.g Signposting to other services such as: Immediate or Practical support

Meals/foodYesNo

Around the homeYesNo

Disability/MobilityYesNo

Counselling/Carer SupportYesNo

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Testimonials

I’ve been driving for the Volunteer Centre for 16 years and absolutely love it. As a driver you meet some really good characters and nice people. I’m helping them and they are helping me as I have to be doing something with my time otherwise I get restless and stressed out at home.

Bob

We know what fantastic work you do within the community and if this donation helps that to continue we will all be delighted.

Mary, Pershore Operatic & Dramatic Society

My volunteer experience enabled me to practice my Microsoft Office skills and increased my confidence, which helped me to learn new skills and return to work. I appreciated being consulted on how to assist with change and enjoyed working within a very upbeat fantastic office team.

Ara

It was a pleasure to meet the volunteer recruitment team to talk through suitable opportunities. Together, we narrowed it down to roles offered by five organisations and I was given the chance to visit each before making a decision. This is a super service.

Val

To everyone who worked and helped at last Sunday’s Christmas afternoon tea. Thank you very much. I really enjoyed myself. I spoke to people I had not seen for at least 30-40 years.

Rosena

I really enjoy helping others and, as I get to know clients and gain a greater perspective of their life and challenges, I also gain a greater appreciation of my own life.

Geena, Volunteer for 14 years

Once again, we are very appreciative of the work you and your volunteers do.

Peter, Worcestershire ME Support Group

As a community organisation, we value the amazing range of skills offered by volunteers recruited through the Volunteer Centre’s bespoke service. Together they promote our ethos, support the wellbeing of our clients and muck-in at events!

Wick Care Farm

I enjoy being a volunteer and of use to people. Volunteering is a lovely way to put something back into the community.

Derek (Minibus now car driver)

The attached cheque is a gift from my late mother who so enjoyed the many years she was a member of the (previous) Wednesday lunch club. After my father died, it was a lifeline for her and enabled her to make many valued friends. She was so sad when her increasing immobility prevented her going there any longer and really missed it during the last year or so of her life. The recent move to St Andrews Community Centre as our new Lunch Club venue makes it possible for people with limited mobility… Read more

Lunch Club
EASY FUNDRAISING PAGE

Test Transport Registration

Your Details

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Testimonials

EASY FUNDRAISING PAGE