Grandparent Sign Up Questionnaire This form can be completed with assistance from your care service if required. Name * First Name Last Name If you are supported by a care service, please provide the name of the service below: * What do you prefer to be called? * How old are you? * What is your date of birth? * MM DD YYYY What is your gender? * Male Female Other Prefer not to say What is your nationality? * Where were you born? * What languages do you speak? What was your former profession? * What are your current hobbies and interests? * What do you like to do in your spare time and what brings you joy? * Please tell us a bit about the person you would ideally like to talk to. You can be as specific as you like and we will do our best to find you a match. * For example, ''I would like to talk to someone who lives in my hometown and is working as a postman as my father was a postman. I don't mind how old they are or if they are male or female. It would be really helpful if they were familiar with my culture and spoke my mother tongue''. Please provide, as best and specifically as you can, days and times during the week you are able to speak to your volunteer * Consent to Adopt A Grandparent * By providing my digital consent, I agree to the processing and use of my data for the Adopt a Grandparent program. This includes granting permission for photos and videos featuring me to be published and shared on social media and other media channels for promotional and community engagement purposes. Additionally, I consent to our partner organisation, Together.ly, collecting and recording relevant data to support monitoring and safeguarding efforts, ensuring the safety and well-being of all participants. I understand that my data will be handled securely and in accordance with applicable data protection laws, and I can withdraw my consent at any time by contacting the program administrators. I hereby give consent to Adopt a Grandparent Thank you for signing up to Adopt a Grandparent!A member of the team will be in touch soon.If you have any questions in the meantime, please email [email protected]
