Hidden fields - Please fill these out before creating the form

To edit these fields, click on each question and then press the options cog above the question. You then need to go to the left hand panel and set the default value for each.

Campaign ID (this must be created first - support for how to do this can be found here)

First Name

Last Name

Email Address

Phone Number

Date of Birth

We need to collect your home address details so we can record where in the UK people are signing up from. We will not send you any materials through the post without your permission.

Home Street Address

City

Postcode

County or Borough

Country

Please share what got you interested in becoming a National Year of Reading Champion:

Are you signing up with your organisation?

YesNo

Organisation Details

Organisation Name

Please select which category best suits your organisation

Organisation Street Address

City

Postcode

Country

Job Title (including subject if teacher)

Please let us know where you heard about the National Year of Reading opportunity from the below options:

By signing up to be a National Year of Reading Champion you will receive our email newsletter. You can unsubscribe from this anytime by replying to the email at the bottom of the newsletter. We need to hold and process your personal data to contact you and manage volunteering and any fundraising activity. We may be required to share your data with third parties for example, to print and deliver resources or carry out evaluation. We will only pass data to those who have agreed to uphold the terms of our privacy policy. Data will not be shared with any other third parties unless this is required by law. You have the right to access, correct or delete your information, and to complain to the Information Commission if you are unhappy with how your data has been processed. Full details of our data processing and your rights are provided in our privacy policy at literacytrust.org.uk/privacy.