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Library Direct Home Service registration form

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Please complete all fields marked *. Hover your mouse over anyExample of help marks for additional help.
DATA PROTECTION PRIVACY NOTICE
In accordance with the Data Protection Act 2018 and in order for us to provide you with a Library Direct volunteer we require your consent to store and share your personal information (including health information) with your volunteer. We will store your personal details securely for the duration of the time that you are being visited plus five additional years. This is for service evaluation purposes and in case any issues arise regarding your library account. We will not share your data beyond your volunteer and partners listed in our Libraries Privacy Notice without your specific permission. If you consent to this usage of your data please confirm your agreement by ticking the box.
I agree for my personal details, including health information, to be held as agreed and for this information to be shared with my volunteer. *
Your details
Emergency contact information
Your wellbeing is important to us. We will telephone this person if your volunteer is concerned about your wellbeing. Please ensure you inform your contact that we will be holding their details as part of our Library Direct Service. If you are unable to give us an emergency contact and your volunteer is unable to contact you, to ensure you are safe and well, we may inform the Police or Adult Social Care.
General information
To help us find the right volunteer for you, please tell us the following.
To help us get the right stock for you, please give us an idea of your reading preferences
Formats (select as many as you wish) *
Level (select as many as you wish) *
Fiction - styles (select as many as you wish)
Non-fiction categories (select as many as you wish)
If completing on behalf of someone else, please provide your name and a contact number:
Library Direct service guidelines
If you have completed all the fields marked *, then please click "Submit".

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