Volunteer Registration Form

Thank you for your interest in volunteering with Asthma UK. Please will you fill in this registration form which helps us to better understand your interest in asthma and reasons for volunteering. If you would like any help completing this form, please contact our Supporter Care Team by ringing 0300 222 5800 or emailing .
The information you provide in this form will be used to process your application to volunteer for Asthma UK. We will keep your information safe and confidential, and comply fully with data protection legislation. You can view our full privacy policy here.

I would like to support Asthma UK by

Becoming a Research & Policy volunteer (click here for a description of this role)

Becoming a Readers’ Panel member (click here for a description of this role)

Joining the Lay Advisory Panel (click here for a description of this role)

Your contact details

Title insert your title here

First name insert your first name here

Last name insert your last name here

Address insert postal your address here

Postcode insert your post code here

Email insert your email address here

Telephone insert your telephone number here

Information about you

We will use this information to ensure that any communications we send to you are relevant.

Your year of birth insert the year here

I have asthma. If so when were you diagnosed with asthma? insert year here

How would you describe your asthma? (e.g. mild, moderate, severe) insert text here

My child/children have asthma. Child/children’s year/s of birth: insert year/s here

How would you describe their asthma? (e.g. mild, moderate, severe) insert text here

Someone I know has asthma. What is their relationship to you? insert text here

I am a health care professional. Please give details: insert text here

Other. Please give details: insert text here

Medical Research:

Asthma UK funds research to find cures and new treatments for asthma. Under certain circumstances, some of this research cannot be done without involving animals and possibly embryos. As a member of the Association of Medical Research Charities we would only consider funding research involving animals or embryos where there is no alternative and where strict regulatory guidelines have been met. None of the research we currently fund uses embryos. Some of the research we currently fund involves the use of animals, and you can find out more about Asthma UK’s policy on this by visiting our Research Ethics page.

Are you comfortable with Asthma UK’s research policy? Yes No Have concerns

Why do you want to volunteer for Asthma UK?

insert text here

How did you hear about volunteering opportunities with Asthma UK?

our website asthma.org.uk

Asthma Magazine

newspaper advertisement

friend/family member

other. Please give details: insert text here

Would you like to keep up to date with Asthma UK?

As someone with an interest in asthma, we would like to keep you informed about the work that we do and about asthma-related news, health advice, appeals, events, campaigns and research. We do not share or sell any personal details with third parties for commercial purposes.
Yes please, I'd like to hear from you by post

Yes please, I'd like to hear from you by email

Yes please, I'd like to hear from you by phone

Yes please, I'd like to hear from you by text message

Thank you for registering your interest in volunteering with Asthma UK. Please return your completed form to us by emailing or posting to: Supporter Care Team, Asthma UK, 18 Mansell Street, London E1 8AA. A member of the appropriate team will contact you after reviewing your registration form.