Submit Change of Personal Details

Black Country Radio holds on file certain information about you, as outlined in the form below.

It is important that we are aware of any changes to your information. If you wish to view the information that Black Country Radio holds about you, then please contact the Head of Volunteer Management.

Please begin by providing your name and contact information in case we have any queries regarding the information you have submitted.

 

YOUR DETAILS

Please enter your name
Please enter your email address. This MUST be your Black Country Radio email address.
Please enter the most convenient phone number to reach you on

 

YOUR UPDATED PERSONAL DETAILS

Please now fill in any relevant boxes below with any new personal details. You do not need to fill in details which remain unchanged.

f you are unsure if we have up-to-date details, please provide the information as we will cross-check it with your Personal Information File and ensure it is updated.

If you have changed your full, real name, please enter your new name above
If you have changed the name you prefer to be known by (such as an on-air name), please enter your new name above
If you have moved, please enter your new home address above, including the postcode
If you have changed your mobile phone number, please enter it above
If you have changed your landline telephone number, please enter it above
We hold on record everyone's personal email address (e.g. @hotmail.co.uk, @live.co.uk etc.) - if you have changed your personal email, please enter your new email address above

 

YOUR UPDATED NEXT OF KIN DETAILS

Please now provide any changes to your next of kin details who should act as the first point of contact in an emergency. You do not need to fill in details which remain unchanged.

If your next of kin has changed, please enter a new name above
If your next of kin has changed, please enter an address for them above. If you have updated your own address above and your next of kin is now at the same address, please write 'As Above'
If you need to update your next of kin's mobile phone number, please enter it above
If you need to update your next of kin's landline number, please enter it above. If it is the same as your landline number above, please enter 'As Above'

 

MEDICAL ADVICE

If you selected 'Yes' above, please advise on any medical issues or physical restrictions that may affect your volunteering duties

Please tick the box below then press the "Submit Changes of Details" button to send your updated details to the Head of Volunteer Management.

You will receive a copy of what you have submitted via email to your Black Country Radio email address.