Pembrokeshire Community Support Group Form

(COVID-19 Community Response)

PAVS (Pembrokeshire Association of Voluntary Services) is collating information about the newly developed Community Support Groups in Pembrokeshire to offer support, information and guidance on good practice and safeguarding when coordinating volunteers in response to COVID-19. Please complete the information below.

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* 1. Community Support Group Details

Name of group (if you have one)

Address (if there is a base)

Area or areas covered

Telephone

Key contact person(s)

Roles/Positions (e.g. Coordinator/Admin of social media group etc)

Other information (e.g. social media groups links, websites links, offline only group etc)

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* 2. Volunteering tasks
Please tick the tasks volunteers will be asked to carry out below:

Leafleting door to door

Shopping

Support with medication

Telephone calls

Support with information (eg self-isolating, reducing risk etc)

Dog walking

Other (please specify)

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* 3. Are you asking volunteers if they have existing DBS checks?

Yes

If yes, what specific tasks are you asking them to carry out?

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* 4. Are you looking for more volunteers to help out within your group/area?

Yes

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* 5. If yes, would you be able to take volunteer referrals from PAVS?

Yes

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* 6. Other Support
Do you wish to be included in a private Facebook group specifically set up for new Community Support Groups that have been created in repsone to COVID-19?

Yes

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* 7. Information regarding good practice and safeguarding will be sent from PAVS.

If you have any enquiries about completing this form or anything relating to coordinating your Community Support Group, then please get in touch using the contact details below.

Please provide any other information you feel is relevant:

Declaration

This information will be entered onto a secure electronic database by PAVS staff in compliance with GDPR. Potential volunteers who are interested in helping within your group/area will be signposted to you if you have specified that you are looking for more volunteers. We will either refer them to you, or will give your information to the interested potential volunteer for them to contact you directly. Your information will also be made available at the Pembrokeshire County Council Community Hub which has been set up as a one stop shop of support for people who need information in response to COVID-19. Information about your group and the area you are operating will also be published on the Community Hub website. If you do NOT wish for your information to be published online tick below.

Please remember that PAVS Volunteering Pembrokeshire does not vet volunteers in any way although we do our best to match suitable volunteers appropriately.

If you have any enquires, please call Caroline White on 07790 809 728 or email PCSN@pavs.org.uk

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* 8. I confirm that I have read and accepted the above Declaration statement.

Name

Position

Date

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* 9. I do NOT wish for my information to be published online

I do NOT wish for my information to be published online

Pembrokeshire Community Support Group Form

(COVID-19 Community Response)

Question Title

* 1. Community Support Group Details

Question Title

* 2. Volunteering tasks Please tick the tasks volunteers will be asked to carry out below:

Question Title

* 3. Are you asking volunteers if they have existing DBS checks?

Question Title

* 4. Are you looking for more volunteers to help out within your group/area?

Question Title

* 5. If yes, would you be able to take volunteer referrals from PAVS?

Question Title

* 6. Other SupportDo you wish to be included in a private Facebook group specifically set up for new Community Support Groups that have been created in repsone to COVID-19?

Question Title

Question Title

* 8. I confirm that I have read and accepted the above Declaration statement.

Question Title

* 9. I do NOT wish for my information to be published online

* 2. Volunteering tasks
Please tick the tasks volunteers will be asked to carry out below:

* 6. Other Support
Do you wish to be included in a private Facebook group specifically set up for new Community Support Groups that have been created in repsone to COVID-19?