Use this form to deposit your time with TimeBank. Questions that are marked in
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need to be completed. Please read our
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and
entering your email address
before depositing your time.
GENERAL DETAILS - section 1 of 4
Title (Mr/Mrs/Ms/Dr)
First Name
Last Name
Address
Town
Post Code
Where do you live?
England
Scotland
Wales
Northern Ireland
Channel Isles
Isle of Man
Dont Know
Telephone (daytime)
Telephone (evening)
Telephone (mobile)
Email*
*TimeBank keeps in contact with Volunteers through a Newsletter and Volunteering Updates .
If you'd like us to stay in touch
via email please
check this box
See our privacy policy
here
.
Your Age
Under 18
18-24
25-34
35-44
45-54
55-64
65-74
75+
Gender
Female
Male
How do you describe your ethnic diversity?
Not Specified
Black African
Black Caribbean
Other Black background
Bangladeshi
Indian
Pakistani
Other Asian background
Chinese
White British
White British(English)
White British(Scottish)
White British(Welsh)
White Irish
Other White background
White and Asian
White and Black Caribbean
White and Black African
Other Mixed Background
Any Other background
Do you consider yourself to have a disability?
No
Yes
How did you hear about Timebank?
--Please Select--
Charityjob website
Chat room/web forum
Clickwalla website
Google/MSN/Tiscali/Yahoo search engine
Itchy website
Jobsincharities website
MyVillage website
Other Website
The Internet
TimeBank email
TimeBank website
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Community Channel
Television
Television-BBC
Television-GMTV
------------
BBC RADIO /ONLINE
Radio- Other
------------
Leaflet /flyer
Library
Postcard
Posters
STOP START
TimeBank newsletter
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Advert
Asian Times
Caribbean Times
Eastern Eye
India Weekly
New Nation newspaper
Press- Other
The Guardian
Time Out
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RBS Group
Work
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TV/Radio
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Volunteer bureau/ agency
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TimeBank staff
Word of mouth
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