Volunteer application form for the National Diabetes Audit advisory group

We’re glad you’re interested in being a patient representative on the National Diabetes Audit.  Being a part of the National Diabetes Audit is a great way to help shape diabetes care all over England and Wales.  

Before you apply, make sure you have read about the role and what is involved to help you answer the questions below.  

Interviews will be held in March.  We will delete your data after the interviews have finished, and we will not use the information you provide for any other purpose.
Please contact NDA@diabetes.org.uk if you need any assistance filling in this form or have any questions.

 

Address
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We ask you to tell us personal information about your diabetes so that we can make sure the role is right for you. We promise to store it securely for up to three months and keep it confidential.  Without your agreement, we are unable to act on your request to apply for the National Diabetes Audit advisory groups.

Tell us about any experience you have of the following:

Are you happy to receive emails
We'd love to keep you updated about how we support people living with diabetes and how you can help by donating, volunteering and campaigning. We'll stay in touch with you by post and phone. It helps us to keep our costs down if we can email you but it's entirely your choice.

Protecting Your Personal Data
Occasionally we may need to share personal data with our suppliers to process your orders and requests or to provide other services to us. We promise:

  • Never to release your personal details to another company for their marketing purposes
  • To always respect your communication preferences

We only want to send you relevant information and requests to support us. To do this we may analyse the information you provide and gather extra data. You can find out more about how we use your information at www.diabetes.org.uk/privacy.

You can change how you hear from us or ask us to stop communicating with you at any time: