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First name
Last Name
Email
Birthday
Phone
Address
ARE YOU ELIGIBLE TO WORK IN THE UK?
YES
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DO YOU HAVE ANY MEDICAL CONDITIONS/ISSUES ?
HAVE YOU EVER BEEN CONVICTED OF ANY CRIMINAL OFFENCES?
IS THERE ANY CONCERN THAT YOU MAY WANT TO SHARE WITH US ?
EMERGENCY CONTACT FULL NAME
EMERGENCY CONTACT RELATIONSHIP
EMERGENCY CONTACT ADDRESS
EMERGENCY CONTACT Phone
HAVE YOU DONE ANY FUNDRAISING BEFORE ?
WHICH DAYS CAN YOU FUNDRAISE ? PLEASE TELL US YOUR AVAILABILITY
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please upload proof of address
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INFO@MAKEITCOUNTFUNDRAISING.COM
020 363 39773
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