Coronavirus (COVID-19):

Coronavirus remains a serious health risk. It’s important to stay cautious and help protect yourself and others. Please continue to follow national government advice.

COVID-19 Community Champion

Your details

Thank you for volunteering to be a Birmingham COVID-19 Community Champion. This form will collect your contact details, what you want more information about and how you would like to be contacted.

Please confirm your consent to the following: Required

For further information on your personal data, please refer to the Council's privacy notice.

Please confirm the following: Required

Please refer to the Code of Conduct which outlines the norms, rules and responsibilities of a COVID-19 Community Champion.

How would you like us to communicate with you? (tick all that apply) Required
rating button