We keep all our data securely in line with the General Data Protection Regulations. Read more in our Privacy Policy First Name Last Name Postcode Email Address Telephone Number Age Name of Emergency Contact Their Relationship to You Emergency Contact Telephone Number How would you describe your fitness level Low Medium High Our conservation volunteering is physical and practical, and involves working alongside mechanical equipment, in all weathers and in remote locations. It requires a basic level of health and fitness, and the ability to follow instructions. Do you have any medical conditions? If yes, please give details. Yes No Please give details here. Would you need any support in order to volunteer with us? If yes please give details. Yes No Where possible, we will try to match you to a suitable opportunity. If you need support in your everyday life, or in order to volunteer, we may ask you to attend with a support worker. Please give details here. Please tell us briefly why you would like to volunteer with Birmingham and Black Country Wildlife Trust Please tick the types of volunteering you would be interested in: Practical Conservation Administration Event Support Other If other, please let us know what you would be interested in. Please tick locations where you would like to volunteer. Moseley Bog Hill Hook Deer's Leap Wood Portway Hill Centre of the Earth EcoPark Growing Local Flora Leave this field blank